LIDA BAO, N.P.
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1629130372
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 13681 (CA) |
Frequently Asked Questions
NPI 1629130372 is the National Provider Identifier for LIDA BAO, N.P., a Nurse Practitioner - Gerontology provider located in Los Angeles, CA. This NPI was enumerated on December 15, 2006.
LIDA BAO, N.P. practices at 11301 WILSHIRE BLVD, BUILDING 500, Los Angeles, CA 90073.
Quick Facts
- NPI
- 1629130372
- Type
- Individual
- Enumerated
- Dec 15, 2006
- Last Updated
- Aug 20, 2007
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