Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | C34550 | CA |
NPI | 1013394477 |
---|---|
Provider Name | Maurice Lemarie |
First Address | Rancho Santa Fe, CA 92067-1031 |
Second Address | Murrieta, CA 92562-8831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2015 |
Last Update Date | 05/05/2015 |