NPI | 1316386980 |
---|---|
Former Name | LINDSAY LAPRESTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD60720662) |
Additional Taxonomies | 207N00000X Dermatology (Licence: AZ R73947) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2022-09-12 |