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Physician Compare National (NPI:1457691503)

HEALTHCARE PROVIDER: LESLEY LAWRENSON M.D., PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1457691503
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3173833563
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190108001344
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LAWRENSON
Individual professional last name
Provider First Name LESLEY
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2012
Individual professional's medical school graduation year
Primary Specialty RADIATION ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name CHAD SILA MD A PROFESSIONAL CORPORATION
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5991950966
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 14608 HAWTHORNE BLVD
Group Practice or individual's line 1 address
City LAWNDALE
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 902601521
Group Practice or individual's zip code (9 digits when available)
Phone Number 3109784970
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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