Individual
LORI IACONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10675 JOHN JAY HOPKINS DRIVE, LA JOLLA, CA 92121
(858) 812-1787
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A119805
CA
Other
Enumeration date
12/13/2005
Last updated
03/20/2023
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