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Organization
LAWRENCE T. GOODWIN, JR., M.D., INC
Active
Organization
LAWRENCE T. GOODWIN, JR., M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA CARRILLO (OFFICE MANAGER)
(310) 674-2895
Entity
Organization
Contact information
Practice address
8717 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 645-4393
(310) 645-3344
Mailing address
8717 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 645-4393
(310) 645-3344
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C40581
CA
Other
Enumeration date
01/15/2008
Last updated
07/22/2009
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