Individual
DR. LAURIE DONNA DELEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A44134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A441340
BLUE SHIELD
CA
Enumeration date
06/25/2006
Last updated
11/27/2023
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