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Lauren Nicole Date-chong
Pediatric Nurse Practitioner in Orinda, California
NPI 1710518808

Lauren Nicole Date-chong is a Pediatric Nurse Practitioner based in Orinda, CA and is specialized in Pediatrics. Lauren Nicole Date-chong practices in Orinda, CA. The NPI Number for Lauren Nicole Date-chong is 1710518808 and holds a License No. 95013441 (California).

The current practice location address for Lauren Nicole Date-chong is 174 Ravenhill Rd, Orinda, CA and can be reached out via phone at 925-915-9918.

Location: 174 Ravenhill Rd, Orinda, CA, 94563-2725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710518808
Provider Name
Lauren Nicole Date-chong
Credential
Provider Entity Type
Individual
Gender
Female
Address
174 Ravenhill Rd, Orinda, CA, 94563-2725
Phone Number
925-915-9918
Fax Number
Provider Enumeration Date
01/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
174 Ravenhill Rd
City
Orinda
State
California
Zip
94563-2725
Phone Number
925-915-9918
Fax Number
person
Provider Business Mailing Address Details
Address
174 Ravenhill Rd
City
Orinda
State
California
Zip
94563-2725
Phone Number
925-915-9918
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95013441 (California)
Definition
Definition to come...
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