| Lalaine Tiu, Md Inc | |
|
3069 Tulare St Fresno CA 93721-1434 | |
| (559) 412-8812 | |
| (559) 266-5587 |
| Full Name | Lalaine Tiu, Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3069 Tulare St, Fresno, California |
| Authorized Official Name and Position | Lalaine Lim Tiu (PRESIDENT) |
| Authorized Official Contact | 5594128812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lalaine Tiu, Md Inc 3069 Tulare St Fresno CA 93721-1434 Ph: (559) 412-8812 | Lalaine Tiu, Md Inc 3069 Tulare St Fresno CA 93721-1434 Ph: (559) 412-8812 |
| NPI Number | 1184048886 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 07/07/2014 |
| Medicare PECOS PAC ID | 4688891443 |
|---|---|
| Medicare Enrollment ID | O20140819000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184048886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A063191 (California) | Primary |
| Provider Name | Lalaine L Tiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225173537 PECOS PAC ID: 1658504477 Enrollment ID: I20140819002820 |
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