person
Mrs. Maryanne Ian Laxa, MD
Neonatal-Perinatal Medicine Physician in Mecca, California
NPI 1184716458

Maryanne Ian Laxa is a Neonatal-Perinatal Medicine Physician based in Mecca, CA and is specialized in Neonatal-Perinatal Medicine. Maryanne Ian Laxa practices in Mecca, CA and has the professional credentials of MD. The NPI Number for Maryanne Ian Laxa is 1184716458 and holds a License No. A76409 (California).

The current practice location address for Maryanne Ian Laxa is 91275 66Th St, Mecca, CA and can be reached out via phone at 760-344-9951.

Location: 91275 66Th St, Mecca, CA, 92254
person
Provider Profile Details
NPI Number
1184716458
Provider Name
Maryanne Ian Laxa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
91275 66Th St, Mecca, CA, 92254
Phone Number
760-344-9951
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A764090 05 CA
institution
Provider Business Practice Location Address Details
Address
91275 66Th St
City
State
Zip
92254
Phone Number
760-344-9951
Fax Number
person
Provider Business Mailing Address Details
Address
91275 66Th St
City
State
Zip
92254
Phone Number
760-344-9951
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
License No.
A76409 (California)
Definition
A pediatrician who 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.
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