Individual
LAISNER DUCLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
38600 MEDICAL CENTER DR, PALMDALE, CA 93551-4483
(661) 382-5000
Mailing address
13750 LEMOLI AVE APT 68, HAWTHORNE, CA 90250-7767
(954) 274-4611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95005924
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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