Individual
DANIEL OWEN LAREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101275458
VA
207P00000X
Emergency Medicine Physician
Primary
A184974
CA
Other
Enumeration date
03/31/2020
Last updated
12/11/2024
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