Individual
LAURA K PIETRZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4644 LINCOLN BLVD STE 552, MARINA DEL REY, CA 90292-6391
(310) 827-2653
Mailing address
211 YACHT CLUB WAY APT 237, REDONDO BEACH, CA 90277-2066
(310) 962-1124
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18203
CA
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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