Individual
MRS. LAURA HANZLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
2650 STOCKTON RD, BLDG 624, SAN DIEGO, CA 92106-6000
(619) 524-0146
Mailing address
11749 ASPEN VIEW DR, SAN DIEGO, CA 92128-5285
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12647
CA
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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