Individual
LAUREN MIDTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DDS
Contact information
Practice address
11800 WILSHIRE BLVD, LOS ANGELES, CA 90025-6602
(310) 231-2121
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A144832
CA
207R00000X
Internal Medicine Physician
M-16431
ID
207RH0003X
Hematology & Oncology Physician
Primary
A144832
CA
Other
Enumeration date
07/06/2011
Last updated
03/29/2024
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