Organization Name: | LAWRENCE KAMINSKY D.P.M. |
NPI Number: | 1336326263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE KAMINSKY (OWNER) |
Mailing Address: | 24310 Moulton Pkwy Ste A Laguna Woods |
State: | CA US |
Postal Code: | 926373306 |
Phone Number: | 9498554414 |
Fax Number: | 9498551209 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | E2543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |