Provider Demographics
NPI:1366614216
Name:THRUPP, LAURI DAVID (MD)
Entity type:Individual
Prefix:
First Name:LAURI
Middle Name:DAVID
Last Name:THRUPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:101 THE CITY DRIVE SOUTH
Mailing Address - Street 2:BLDG 53 ROOM 220
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3201
Mailing Address - Country:US
Mailing Address - Phone:714-456-5134
Mailing Address - Fax:714-456-7169
Practice Address - Street 1:101 THE CITY DRIVE SOUTH
Practice Address - Street 2:PAVILION III
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-5477
Practice Address - Fax:714-456-7169
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC25108207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease