MARY LOU LAO DAVID FNP-BC NPI 1245467992

NPI Information

NPI: 1245467992
Provider Name: MARY LOU LAO DAVID, FNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
22 BLUFF COVE DR
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 360-0587
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Mary Lou Lao David, FNP-BC is a primary care nurse practitioner in Aliso Viejo, CA with 16 years of experience. Mary Lou Lao David, FNP-BC NPI is 1245467992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22 BLUFF COVE DR
ALISO VIEJO, CA
ZIP 92656-077
Phone: (949) 360-0587

The NPI 1245467992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 10/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	18743	CALIFORNIA	No
2	363LP2300X	Nurse Practitioner	Primary Care	18743	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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