Individual
LAURENCE JAY HEIFETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10956 DONNER PASS RD, SUITE 210, TRUCKEE, CA 96161-4861
(530) 582-6450
(530) 550-8169
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 582-6450
(530) 582-6430
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
F0507
TX
207RX0202X
Medical Oncology Physician
Primary
G26341
CA
Other
Enumeration date
07/05/2006
Last updated
04/12/2012
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