Individual
CAROLINE LUSK MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 W ALAMEDA AVE, SUITE 201, BURBANK, CA 91505-4402
(818) 843-1819
(818) 843-1964
Mailing address
2701 W ALAMEDA AVE, SUITE 201, BURBANK, CA 91505-4402
(818) 843-1819
(818) 843-1964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C38524
CA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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