Kelly Lao Od Apc

NPI 1215955141 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1215955141
Enumeration Date 07/18/2006
Last Updated 03/28/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLY LAO KELLY
Position PRESIDENT
Phone (408) 293-7576
Fax (408) 293-7579
Practice Location
240 MERIDIAN AVE
STE 1
SAN JOSE CA, 95126, US
Phone (408) 293-7576
Fax (408) 293-7579
Business Location
240 MERIDIAN AVE
STE 1
SAN JOSE CA, 95126, US
Phone (408) 293-7576
Fax (408) 293-7579
Toxanomy
Taxonomy Code 332H00000X
License State
License Number
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According to our database, Kelly Lao Od Apc NPI is 1215955141, taxonomy code is 332H00000X Kelly Lao Od Apc physically located at 240 Meridian Ave, San Jose CA, 95126. NPI Number 1033115704 has the healthcare provider type.

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1215955141 NPI number is provided on an as is basis without warranty of any kind. 1215955141 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lao Od Apc are for informational purposes only.