Individual
LALEH SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 MARINA ST, MORRO BAY, CA 93442-2244
(805) 771-8324
(805) 771-8413
Mailing address
3224 SHEARER AVE, CAYUCOS, CA 93430-1843
(805) 235-1598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A061606D
CA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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