Doctor Name: | MARIA LUZ LARA-MARQUEZ |
NPI Number: | 1235424771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, PHD |
License Number: | |
Business Practice Address: | 6500 Gilman Dr Uc San Diego Allergy & Immunol Mc #0635 La Jolla, CA - 920930635 |
Business Phone Number: | 5044029469 |
Business Fax Number: | 8889394213 |
Mailing Address: | 9500 Gilman Dr, Mc# 0635, Allergy And Immunology, Ucsd LA JOLLA |
State: | CA |
Postal Code: | 920930635 |
Phone Number: | 5044029469 |
Fax Number: | 8889394213 |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |