Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ALAN LAURIE, MD
ActivePediatrics · RIVERSIDE, CA
Registration Details
- NPI Number
- 1063496545
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2005 (20.391155355595 yrs)
- Last Updated
- Nov 15, 2010
- License
-
G43352 (CA)
Practice Information
- Address
-
6405 DAY STRIVERSIDE, CA, 925070901Browse CA providers · Browse ZIP 92507
- Phone
- 9516975430
- Fax
- 9516975488
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| HEDY S. ASSAAD | MD | 1154302529 |
| CLARK LARKIN GIFFORD | MD | 1063493435 |
| LAWRENCE DONALD SHARPE | MD | 1194707091 |
| RAVI KUMAR BERRY | MD | 1407838220 |
| MICHAEL THOMAS SAITO | MD | 1912989385 |
| NAHEED H ALJILANI | MD | 1598748410 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.