Organization
PEACE LILY FERTILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARENNE N FRU MD (PHYSICIAN)
(773) 283-1795
Entity
Organization
Contact information
Practice address
1801 PEACHTREE ST NE STE 145, ATLANTA, GA 30309-1895
(773) 283-1795
Mailing address
160 E TASMAN DR, SAN JOSE, CA 95134-1619
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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