Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | A29497 | CA |
NPI | 1083679856 |
---|---|
Provider Name | Ricardo Lawner Liberman |
First Address | Pasadena, CA 91105-3010 |
Second Address | Pasadena, CA 91105-3010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 08/07/2007 |