Laurie Clemens Mitchell, MD Valid NPI
Individual provider · Pediatrics Physician · Alpine, CA
- NPI
- 1316939895
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- A55633 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-08-19
- Last updated
- 2007-07-08
Practice location
Southern Indian Health Coucil, 4058 Willows Road
Alpine, CA 91901
(619) 445-1188