Doctor Name: | DR. LAWRENCE M OLOFF |
NPI Number: | 1043241888 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | E3325 |
Business Practice Address: | 500 Arguello Street Suite 100 Redwood City, CA - 94063 |
Business Phone Number: | 6508514900 |
Business Fax Number: | 6509951202 |
Mailing Address: | 500 Arguello Street, Suite 100 REDWOOD CITY |
State: | CA |
Postal Code: | 94063 |
Phone Number: | 6508514900 |
Fax Number: | 6509951202 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | E3325 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |