Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DRK25 | CA |
NPI | 1902966625 |
---|---|
Provider Name | Dr. Lauralynn Kay Lebeck |
First Address | Leucadia, CA 92024-1539 |
Second Address | La Jolla, CA 92037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |