Search › California › 124Q00000X
Bethany Icel Lauria, RDH
NPI 1447881875 · on the registry since 2020
Practice
- Address
- 13450 S. Hawthorne Blvd
Hawthorne, CA 90250 - Phone
- (310) 679-0106
- Fax
- (310) 679-6698
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California