Individual
LAURENCE DEKANTER FAVROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3526 7TH AVE, SAN DIEGO, CA 92103-5009
(858) 499-3080
(858) 499-4441
Mailing address
3526 7TH AVE, SAN DIEGO, CA 92103-5009
(858) 499-3080
(858) 499-4441
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C37396
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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