Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A151539 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A151539 | CA |
NPI | 1003330572 |
---|---|
Provider Name | Lauryn Camille Gabby |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2017 |
Last Update Date | 31/07/2020 |