Jordan Lau Inouye D.O.

NPI 1073675112 - Family Medicine - 207Q00000X

NPI Details
NPI 1073675112
Gender Male
Enumeration Date 12/14/2006
Last Updated 07/12/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1134 N 500 W
SUITE #102
PROVO UT, 84604-3383, US
Phone (801) 357-1770
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 357-1770
Taxonomy Code 207Q00000X
License State Nebraska
License Number 544
Remove 1073675112 NPI Number

According to our database, Dr. Jordan Lau Inouye D.O. NPI is 1073675112, taxonomy code is 207Q00000X and license number is 544, license state is located at Nebraska. Jordan Lau Inouye D.O. physically located at 1134 N 500 W, Provo UT, 84604-3383. NPI Number Jordan Lau Inouye D.O. has the Individual type.

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1073675112 NPI number is provided on an as is basis without warranty of any kind. 1073675112 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Lau Inouye D.O. are for informational purposes only.