Doctor Name: | DR. ALLEN L LAWRENCE |
NPI Number: | 1013956671 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A25501 |
Business Practice Address: | 18653 Ventura Blvd # 384 Tarzana, CA - 913564103 |
Business Phone Number: | 7602428400 |
Business Fax Number: | 8185826026 |
Mailing Address: | 18653 Ventura Blvd # 384, TARZANA |
State: | CA |
Postal Code: | 913564103 |
Phone Number: | 7604094267 |
Fax Number: | 8185826026 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A25501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |