Individual
MS. LAURIE R. BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
795 WILLOW RD, BUILDING 347-A, MENLO PARK, CA 94025-2539
(650) 493-5000
Mailing address
795 WILLOW RD, BUILDING 347-A, MENLO PARK, CA 94025-2539
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
374314
CA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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