Individual
JEAN LAURICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1145 E GREEN ST, PASADENA, CA 91106-2505
(626) 796-9913
Mailing address
1145 E GREEN ST, PASADENA, CA 91106-2505
(626) 796-9913
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G44981
CA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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