# LAWRENCE A WOOD M.D. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265613749
- **Authorized official:** DR. LAWRENCE ALVIN WOOD M.D. (PROVIDER/OWNER)
- **Authorized official phone:** (858) 675-2020

## Contact information

- **Practice address:** 10531 4S COMMONS DR, SUITE \#168, SAN DIEGO, CA 92127-3517
- **Practice address phone:** (858) 675-2020
- **Practice address fax:** (858) 675-2036
- **Mailing address:** 10531 4S COMMONS DR, SUITE \#168, SAN DIEGO, CA 92127-3517
- **Mailing address phone:** (858) 675-2020
- **Mailing address fax:** (858) 675-2036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | C43071 | CA | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007