Doctor Name: | DR. LAMONT D PAXTON |
NPI Number: | 1033139043 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G47633 |
Business Practice Address: | 13851 E 14th St Suite 202 San Leandro, CA - 945782631 |
Business Phone Number: | 5103474700 |
Business Fax Number: | 5103474712 |
Mailing Address: | 13851 E 14th St, Suite 202 SAN LEANDRO |
State: | CA |
Postal Code: | 945782631 |
Phone Number: | 5103474700 |
Fax Number: | 5103474712 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 06/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | G47633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |