Provider Demographics
NPI:1851682330
Name:ELREFAEI, LAMIAA M
Entity type:Individual
Prefix:
First Name:LAMIAA
Middle Name:M
Last Name:ELREFAEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3096 ARTHUR CT
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-6802
Mailing Address - Country:US
Mailing Address - Phone:408-250-1152
Mailing Address - Fax:
Practice Address - Street 1:2310 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-7339
Practice Address - Country:US
Practice Address - Phone:408-774-0134
Practice Address - Fax:408-774-9594
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist