Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 24106 | CA |
NPI | 1033343124 |
---|---|
Provider Name | Mrs. Lauren Yee Perrone |
First Address | Manhattan Beach, CA 90266-7015 |
Second Address | Manhattan Beach, CA 90266-7015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 05/05/2009 |