Organization
LAUREN A. POLIAKIN, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN A POLIAKIN MD (OWNER)
(805) 497-8820
Entity
Organization
Contact information
Practice address
227 W JANSS RD STE 300, THOUSAND OAKS, CA 91360-1885
(805) 497-8820
Mailing address
227 W JANSS RD STE 300, THOUSAND OAKS, CA 91360-1885
(805) 497-8820
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/15/2020
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