Caitlin Elizabeth Polley Lassus M.D.

NPI 1891007696 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1891007696
Gender Female
Enumeration Date 07/08/2010
Last Updated 07/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1403 LOMITA BLVD STE 102
HARBOR CITY CA, 90710-2084, US
Phone (310) 534-7600
Fax (310) 326-7205
Business Location
1403 LOMITA BLVD STE 102
HARBOR CITY CA, 90710-2084, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Caitlin Elizabeth Polley Lassus M.D. NPI is 1891007696, taxonomy code is 390200000X Caitlin Elizabeth Polley Lassus M.D. physically located at 1403 Lomita Blvd Ste 102, Harbor City CA, 90710-2084. NPI Number Caitlin Elizabeth Polley Lassus M.D. has the Individual type.

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1891007696 NPI number is provided on an as is basis without warranty of any kind. 1891007696 is maintained by the National Plan & Provider Enumeration System. The contents of Caitlin Elizabeth Polley Lassus M.D. are for informational purposes only.