Individual
DAVID AUGUST LANUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4371 LATHAM ST, RIVERSIDE, CA 92501-1706
(951) 758-4700
(360) 462-5136
Mailing address
PO BOX 5157, SAN BERNARDINO, CA 92412-5157
(909) 580-6240
(909) 580-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A61543
CA
Other
Enumeration date
08/02/2006
Last updated
10/03/2024
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