Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 651591 | CA |
NPI | 1023096831 |
---|---|
Provider Name | Laura R Morgan |
First Address | Palm Desert, CA 92211-6070 |
Second Address | Palm Desert, CA 92211-6070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 06/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A07324 | (02) |