Mrs. Maryanne Ian Laxa
MD | Pediatric Neonatal-Perinatal Medicine | Female
Mrs. Maryanne Ian Laxa, MD is a Mecca, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Mrs. Maryanne Ian Laxa is
91275 66th St, Mecca, California - 92254. She can be contacted on phone at
760-344-9951.
Mrs. Maryanne Ian Laxa is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Maryanne Ian Laxa is
1184716458 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 25 Jan, 2012.
Mrs. Maryanne Ian Laxa license number is
A76409 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Mrs. Maryanne Ian Laxa is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Mrs. Maryanne Ian Laxa basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
|---|
| Provider Name : | Mrs. Maryanne Ian Laxa |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Mrs. Maryanne Ian Laxa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 91275 66th St
Mecca, CA, 92254
United States |
|---|
| Phone Number : | 760-344-9951 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184716458 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 28 Sep, 2006 |
|---|
| Last Updated On : | 25 Jan, 2012 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Maryanne Ian Laxa are as mentioned. Primary taxonomy code for Mrs. Maryanne Ian Laxa, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | A76409 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Maryanne Ian Laxa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A764090 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 91275 66th St
Mecca, CA, 92254
United States |
|---|
Business Location:
Patients can refer following map for directions to
Mrs. Maryanne Ian Laxa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.