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Individual

DAVID LOWELL KRASNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1328 22ND ST, PATHOLOGY DEPT, SANTA MONICA, CA 90404-2032
(310) 829-8101
(310) 829-6509
Mailing address
11693 SAN VICENTE BLVD, #147, LOS ANGELES, CA 90049-5105
(310) 829-8101
(310) 829-6509

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G58882
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G588820
CA
Enumeration date
04/14/2006
Last updated
10/04/2007
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