Provider Demographics
NPI:1295990224
Name:DRIS, LAMIA (MD)
Entity type:Individual
Prefix:
First Name:LAMIA
Middle Name:
Last Name:DRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 BRISTOL ST
Mailing Address - Street 2:STE 600
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7341
Mailing Address - Country:US
Mailing Address - Phone:714-445-0228
Mailing Address - Fax:714-445-0246
Practice Address - Street 1:3070 BRISTOL ST
Practice Address - Street 2:SUITE 190
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3077
Practice Address - Country:US
Practice Address - Phone:714-445-0228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA122418207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology