Individual
LAUREN POLIAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2019-00765
NC
Other
Enumeration date
04/29/2015
Last updated
09/14/2020
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