Doctor Name: | DR. LORI TAYLOR SERWATKA |
NPI Number: | 1891977468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A109602 |
Business Practice Address: | 1600 W Avenue J Lancaster, CA - 935342814 |
Business Phone Number: | 6619495701 |
Business Fax Number: | |
Mailing Address: | 2602 Griffith Park Blvd, LOS ANGELES |
State: | CA |
Postal Code: | 900392520 |
Phone Number: | 3233630339 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | A109602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |