Individual
DR. MARK LAWRENCE LABOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12301 WILSHIRE BLVD, SUITE 325, LOS ANGELES, CA 90025-1007
(310) 824-2550
(310) 824-7050
Mailing address
12301 WILSHIRE BLVD, SUITE 325, LOS ANGELES, CA 90025-1007
(310) 824-2550
(310) 824-7050
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G52484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-4065292
CORPORATE TAX I.D.
—
01
—
G52484
MEDICAL LICENSE NUMBER
CA
Enumeration date
07/11/2006
Last updated
02/21/2020
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