Individual
MR. SEBASTIAN SAMUEL LEON LAUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL STUDENT
Contact information
Practice address
165 AVE HOSTOS APT 639, SAN JUAN, PR 00918-4244
(787) 423-9223
Mailing address
165 AVE HOSTOS APT 639, SAN JUAN, PR 00918-4244
(787) 423-9223
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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