Individual
LAURA MARGARET KESTER PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-5387
(916) 456-2236
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-5387
(916) 456-2236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C145145
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
01070009A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201107230
—
IN
Enumeration date
06/11/2007
Last updated
08/13/2021
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