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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

LAUREN C GANNON, MD
5454 EL CAJON BLVD.
SAN DIEGO, CA92115
 Phone: 619-515-2400
 Fax: 619-546-9900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAUREN C GANNON · (Female)

NPI Number 1003012733
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2007
Last updated 10/14/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A105771
Hospital affiliation(s)
  • UCSF MEDICAL CENTER - (Acute Care)
    505 PARNASSUS AVE, BOX 0296
    SAN FRANCISCO, CA 94143
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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