Individual
MRS. DAN JIN LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 INDIANA AVE, RIVERSIDE, CA 92504-4544
(951) 358-6000
Mailing address
7140 INDIANA AVE, RIVERSIDE, CA 92504-4544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005863
CA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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