Lac, Peter
Lac, Peter is an individual health care provider with primary practice located at 36320 Inland Valley Dr Ste 308 , Wildomar CA 92595-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lac, Peter can be contacted via phone (951) 600-7630.Contact Information
Primary practice address
36320 Inland Valley Dr Ste 308
Wildomar CA 92595-7512
Phone: (951) 600-7630
Fax: (951) 600-7164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A91135 | California |
Profile Details
| NPI number | 1881617652 |
|---|---|
| LBN Legal business name | Lac, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Aug 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881617652 | NPPES |
| California | Other | A91135 | LIC |
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