| Doctor Name: | LAWRENCE E VONDOLLEN |
| NPI Number: | 1023109048 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, FACC |
| License Number: | G44009C |
| Business Practice Address: | 295 Posada Ln Ste A Templeton, CA - 934654055 |
| Business Phone Number: | 8057828844 |
| Business Fax Number: | 8057828859 |
| Mailing Address: | 1941 Johnson Ave, Ste 101 SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 934014154 |
| Phone Number: | 8057828844 |
| Fax Number: | 8057828859 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | G44009C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |