Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A122418 | CA |
NPI | 1295990224 |
---|---|
Provider Name | Lamia Dris |
First Address | Costa Mesa, CA 92626-7341 |
Second Address | Costa Mesa, CA 92626-3077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 19/01/2017 |