Individual provider · Type 1 NPI
Mary Lou Lao David, FNP-BC
Primary Care Nurse Practitioner · Aliso Viejo, CA
NPI number
1245467992
Active
Practice location
22 Bluff Cove Dr
Aliso Viejo, CA 92656-8077
Mailing address
4050 Barranca Pkwy
Irvine, CA 92604-7706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 18743 (CA) |
| Family Nurse Practitioner | 363LF0000X | 18743 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Aliso Viejo
About NPI 1245467992
Mary Lou Lao David, FNP-BC's National Provider Identifier is 1245467992, issued on Jun 19, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Aliso Viejo, CA. The record was last updated on Oct 26, 2017.