Physician Compare National (NPI:1932292711)

HEALTHCARE PROVIDER: LAURITA LANCASTER AVALOS LCSW

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

Individual Professional Information
NPI	1932292711
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961526793
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100901000114
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AVALOS
	Individual professional last name
Provider First Name	LAURITA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2810 E DEL MAR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 7D
	Group Practice or individual's line 2 address
City	PASADENA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	911074321
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6267628083
	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