Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners for Children Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOU LAZATIN (ADMINISTRATOR)
(213) 388-3151
Entity
Organization
Contact information
Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(213) 388-3151
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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