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Individual

DR. LAURENCE S. BASKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2200
(415) 476-8849
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G61586
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G615860
CA
Enumeration date
06/28/2006
Last updated
07/09/2007
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