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Individual

MS. LAURIE SUZANNE DAHLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., C.P.N.P.

Contact information

Practice address
585 N HALIFAX AVE STE 102, CLOVIS, CA 93611-7276
(559) 603-7415
(559) 603-7410
Mailing address
PO BOX 889442, LOS ANGELES, CA 90088-9442
(559) 603-7372
(559) 451-3661

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
524692
CA

Other

Enumeration date
06/11/2007
Last updated
09/02/2025
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