Jack Alan Laurie
MD | Pediatrics | Male
Jack Alan Laurie, MD is a Riverside, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jack Alan Laurie is
6405 Day St, Riverside, California - 92507-0901. He can be contacted on phone at
951-697-5430 and fax number 951-697-5488.
Jack Alan Laurie is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Alan Laurie is
1063496545 which was assigned by NPPES on 30 Nov, 2005 and it was last updated on 15 Nov, 2010.
Jack Alan Laurie license number is
G43352 for Pediatrics (208000000X) in California.
Jack Alan Laurie is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack Alan Laurie basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jack Alan Laurie |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Jack Alan Laurie address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6405 Day St
Riverside, CA, 92507-0901
United States |
|---|
| Phone Number : | 951-697-5430 |
|---|
| Fax Number : | 951-697-5488 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063496545 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 30 Nov, 2005 |
|---|
| Last Updated On : | 15 Nov, 2010 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Alan Laurie are as mentioned. Primary taxonomy code for Jack Alan Laurie, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G43352 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jack Alan Laurie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ92058Z | Other | | GROUP SITE LOCATION |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3660 Arlington Ave
Riverside, CA, 92506-3912
United States |
|---|
| Phone Number : | 951-782-5110 |
|---|
| Fax Number : | 951-274-0403 |
|---|
Business Location:
Patients can refer following map for directions to
Jack Alan Laurie practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.