Provider Demographics
NPI:1649250788
Name:ZIAJKO, LAURETTA ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURETTA
Middle Name:ANNE
Last Name:ZIAJKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2649 LARKIN PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-3017
Mailing Address - Country:US
Mailing Address - Phone:619-813-9436
Mailing Address - Fax:619-532-8353
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:MENTAL HEALTH DIRECTORATE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-5761
Practice Address - Fax:619-532-8353
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01056797A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry