Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2020010902 | MO |
Y | 207X00000X | Orthopaedic Surgeon | A171939 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 2020010902 | MO |
NPI | 1184018095 |
---|---|
Provider Name | Dr. Lauren Elisabeth Wessel |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024-6990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2015 |
Last Update Date | 05/08/2021 |