Individual
IRENE O LAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
931 BUENA VISTA ST, SUITE 201, DUARTE, CA 91010-1712
(626) 303-4626
Mailing address
931 BUENA VISTA ST, SUITE 201, DUARTE, CA 91010-1712
(626) 303-4626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A41174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A411740
—
CA
Enumeration date
12/01/2005
Last updated
05/05/2015
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