Peter Lac is a Nephrology in Riverside, California. Peter Lac practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Peter Lac is 1881617652. The last update date is 2021-08-10.
Peter Lac's current location address is 3660 Park Sierra Dr Ste 203, Riverside, California. You can contact this provider via phone number 9516873400 and fax number 9516877630. The mailing address for Peter Lac is 3660 Park Sierra Dr Ste 203, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Lac |
|---|---|
| Address | 3660 Park Sierra Dr Ste 203, Riverside, California |
| Phone Number | 9516873400 |
| Fax Number | 9516877630 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881617652 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
| Address | 3660 Park Sierra Dr Ste 203 |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925053071 |
| Phone Number | 9516873400 |
| Fax Number | 9516877630 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A91135 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A91135 | CA | LIC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peter Lac by the Centers for Medicare & Medicaid Services?
The Peter Lac has been assigned the NPI (National Provider Identifier) 1881617652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Peter Lac's facilities are geographically located?
The facilities of Peter Lac are physically situated at the following location: 3660 Park Sierra Dr Ste 203, Riverside, CA, 925053071.
What is the Peter Lac's specialty and taxonomy code?
The Peter Lac's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881617652 to Peter Lac?
The Centers for Medicare & Medicaid Services originally issued the 1881617652 to Peter Lac on 2006-07-25.
When was the information pertaining to Peter Lac most recently updated or revised?
The details related to Peter Lac, including its address, specialty, and other relevant information, were last updated or revised on 2021-08-10.
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