LAWRENCE EIDREF SANTIAGO LIPANA

NEW HAVEN, CT
NPI1255658076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-05-04
Last Update Date2021-12-08
Business Address
Dr. LAWRENCE EIDREF SANTIAGO LIPANA M.D.
333 CEDAR ST # 3 YUSM DEPARTMENT OF ANESTHESIOLOGY
NEW HAVEN, CT 06510-3206
Phone number: 203-688-9503
Mailing Address
Dr. LAWRENCE EIDREF SANTIAGO LIPANA M.D.
393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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