Provider / Organization | NPI | Date Certified |
---|---|---|
LAUREN WONG | 1720687288 | 2020-10-25 |
Lauren Wong is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720687288. Registration indicates Lauren Wong is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Lauren Wong PHARMD |
Practice Office Address | 989 AVENIDA PICO SAN CLEMENTE, CA US |
Practice Office Telephone | 9493695596 |
Mailing Address | 2904 CABALLISTA DEL SUR SAN CLEMENTE, CA 926733446 US |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 83561
CA |