Laura Sullivan Romero
Dermatologist Dermatopathologist
3350 La Jolla Village Dr Mail Code 111b
San Diego
, California 92161-0002
Laura Sullivan Romero
Dermatologist Dermatopathologist
3350 La Jolla Village Dr Mail Code 111b
San Diego
, California 92161-0002
(858) 249-6748
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Laura Sullivan Romero
- Po Box 232410
- San Diego, CA
- Zip : 92193-2410
- Phone : (858) 249-6748
Second Address
- Laura Sullivan Romero
- 3350 La Jolla Village Dr Mail Code 111b
- San Diego, CA
- Zip : 92161-0002
- Fax : (858) 642-1435
- Phone : (858) 552-8585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | G074772 | CA |
| Y | 207ND0900X | Dermatopathologist | G074772 | CA |
National Provider Identifier
| NPI | 1679672448 |
|---|---|
| Provider Name | Laura Sullivan Romero |
| First Address | San Diego, CA 92193-2410 |
| Second Address | San Diego, CA 92161-0002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 14/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G20866 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.