LAUREN ALEXANDRIA BENNALLACK

COLTON, CA
NPI1902216468
Former NameLAUREN ALEXANDRIA TAKEHANA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  20A14245)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: TX  S3632)
Enumeration Date2014-05-05
Last Update Date2024-06-26
Business Address
LAUREN ALEXANDRIA BENNALLACK DO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
Mailing Address
LAUREN ALEXANDRIA BENNALLACK DO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000