Basic Information
Provider Information
NPI: 1316365786
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAGUNA
FirstName: MEREDITH
MiddleName: LANA CURTIS
NamePrefix:  
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CURTIS
OtherFirstName: MEREDITH
OtherMiddleName: LANA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 550 16TH ST FL 4
Address2: MISSION HALL BLDG., UCSF MEDICAL EDUCATION, PEDIATRICS
City: SAN FRANCISCO
State: CA
PostalCode: 941582545
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber: 4154765354
Practice Location
Address1: 550 16TH ST FL 4
Address2: MISSION HALL BLDG., UCSF MEDICAL EDUCATION, PEDIATRICS
City: SAN FRANCISCO
State: CA
PostalCode: 941582545
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber: 4154765354
Other Information
ProviderEnumerationDate: 04/02/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA141438CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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