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Contact Information

LORI IACONIS, MD
10675 JOHN JAY HOPKINS DRIVE
LA JOLLA, CA92121
 Phone: 858-812-1787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LORI IACONIS · (Female)

NPI # 1770568644
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 03/20/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A119805
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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