Individual
DR. CHRISTINA LAANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S ELLSWORTH AVE STE 308, SAN MATEO, CA 94401-3931
(650) 344-6896
(650) 344-2794
Mailing address
100 S ELLSWORTH AVE STE 308, SAN MATEO, CA 94401-3931
(650) 344-6896
(650) 344-2794
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A68318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A683180
—
CA
01
—
ZZZ80557Z
BLUE SHIELD
CA
Enumeration date
07/16/2006
Last updated
07/08/2007
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