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Individual

AMARATEEDHA PRAK LECOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 MERCY CIRCLE, 4TH FLOOR, RM 4172, OCEANSIDE, CA 92055
(760) 719-5100
Mailing address
1702 BLACKBIRD CIR, CARLSBAD, CA 92011-5008
(727) 612-6089

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A179332
CA
208D00000X
General Practice Physician
A179332
CA

Other

Enumeration date
05/02/2014
Last updated
09/08/2025
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