| NPI | 1386960961 |
|---|---|
| Former Name | LAUREN ELIZABETH DUBAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A134923) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A134923) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A134923) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2023-05-10 |