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1881617652
PETER LAC
WILDOMAR, CA
NPI
1881617652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA A91135)
Enumeration Date
2006-07-25
Last Update Date
2021-08-10
Business Address
PETER LAC M.D.
36320 INLAND VALLEY DR STE 308
WILDOMAR, CA 92595-7512
Phone number: 951-600-7630
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Mailing Address
PETER LAC M.D.
3660 PARK SIERRA DR STE 203
RIVERSIDE, CA 92505-3071
Phone number: 951-687-3400
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