Active NPI
Lauralynn Kay Lebeck, PHD
- Ph.D. Medical Genetics
- La Jolla, CA
National Provider Identifier
1902966625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- DRK25
- Practice address
- Ucsd Immunogenetics & Transplantation Laboratory
9894 Genesee Ave, Suite 101
La Jolla, CA 92037 - Phone
- (858) 642-4774
- Fax
- (858) 642-0595
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | DRK25 | CA | Primary |
Addresses
Primary practice location
Ucsd Immunogenetics & Transplantation Laboratory
9894 Genesee Ave, Suite 101
La Jolla, CA 92037
Mailing address
586 Southbridge Court
Leucadia, CA 92024-1539
Phone (760) 944-2810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRK25 | CA | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902966625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 SOUTHBRIDGE COURT",
"city": "LEUCADIA",
"state": "CA",
"postal_code": "920241539",
"telephone_number": "760-944-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCSD IMMUNOGENETICS & TRANSPLANTATION LABORATORY",
"address_2": "9894 GENESEE AVE, SUITE 101",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-642-4774",
"fax_number": "858-642-0595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBECK",
"first_name": "LAURALYNN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "CA",
"license": "DRK25",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.