Individual provider · NPI-1

Irene O Lao, M.D.

Dermatology · Duarte, CA

NPI number1235113457
StatusActive
Last updated in NPPESMay 5, 2015

Details

NPI
1235113457
Entity type
Individual (NPI-1)
Name
Irene O Lao
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 1, 2005
Last updated
May 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyA41174CAYes

Practice location

931 Buena Vista St
Suite 201
Duarte, CA 91010-1712

Phone 626-303-4626

Mailing address

931 Buena Vista St
Suite 201
Duarte, CA 91010-1712

Phone 626-303-4626

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