Individual
DR. LAUREN MARIE TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 CASA ST, SUITE C, SAN LUIS OBISPO, CA 93405-1883
(805) 925-2529
Mailing address
1325 E CHURCH ST, SUITE 101, SANTA MARIA, CA 93454-5909
(805) 925-2529
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A121850
CA
Other
Enumeration date
05/05/2010
Last updated
08/13/2015
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