| Mark P. Lauron, M.d., Inc. | |
|
16024 Kamana Rd Apple Valley CA 92307-1308 | |
| (760) 242-8887 | |
| (760) 242-4414 |
| Full Name | Mark P. Lauron, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 16024 Kamana Rd, Apple Valley, California |
| Authorized Official Name and Position | Mark P Lauron (PHYSICIAN) |
| Authorized Official Contact | 7602428887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P. Lauron, M.d., Inc. 16024 Kamana Rd Apple Valley CA 92307-1308 Ph: (760) 242-3644 | Mark P. Lauron, M.d., Inc. 16024 Kamana Rd Apple Valley CA 92307-1308 Ph: (760) 242-8887 |
| NPI Number | 1457668311 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 05/18/2020 |
| Medicare PECOS PAC ID | 2567588494 |
|---|---|
| Medicare Enrollment ID | O20100928000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457668311 | NPI | - | NPPES |
| 00A618920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A061892 (California) | Primary |
| Provider Name | Mark D Lauron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932179595 PECOS PAC ID: 4183740012 Enrollment ID: I20100928000994 |
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