JACK ALAN LAURIE

RIVERSIDE, CA
NPI1063496545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  G43352)
Enumeration Date2005-11-30
Last Update Date2010-11-15
Business Address
-- JACK ALAN LAURIE MD
6405 DAY ST
RIVERSIDE, CA 92507-0901
Phone number: 951-697-5430
Mailing Address
-- JACK ALAN LAURIE MD
3660 ARLINGTON AVE
RIVERSIDE, CA 92506-3912
Phone number: 951-782-5110