Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | DC25230 | CA |
NPI | 1538386180 |
---|---|
Provider Name | Dennis L. Day |
First Address | Lower Lake, CA 95457-0337 |
Second Address | Lower Lake, CA 95457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/04/2009 |