Lauren Nicole Date-Chong

NPI #1710518808 in Orinda, California

Provider Information

NPI Number
1710518808
Entity Type
Individual
Name
Lauren Nicole Date-Chong
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Pediatrics
Enumeration Date
Jan 28, 2020
Last Updated
Jan 28, 2020

Practice Location

Address
174 RAVENHILL RD
City
Orinda
ZIP Code
94563-2725
Phone
(925) 915-9918

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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