Provider Demographics
NPI:1104800747
Name:FOX, LAURA EVE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:EVE
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:416 N BEDFORD DR
Mailing Address - Street 2:#300
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4322
Mailing Address - Country:US
Mailing Address - Phone:310-273-2333
Mailing Address - Fax:310-273-6583
Practice Address - Street 1:416 N BEDFORD DR
Practice Address - Street 2:#300
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4322
Practice Address - Country:US
Practice Address - Phone:310-273-2333
Practice Address - Fax:310-273-6583
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2014-07-01
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Provider Licenses
StateLicense IDTaxonomies
CAG32893207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG32893Medicare PIN
CAA45333Medicare UPIN