Individual
LIBBY FLEISCHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 W. ADAMS BLVD., LOS ANGELES, CA 90007-2664
(213) 742-1433
(213) 742-1496
Mailing address
403 W. ADAMS BLVD., LOS ANGELES, CA 90007-2664
(213) 742-1433
(213) 742-1496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G18778
CA
208200000X
Plastic Surgery Physician
G18778
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G18778
CA
Other
Enumeration date
06/14/2006
Last updated
01/14/2015
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