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Individual
LAWRENCE SHINZO TAWA
Active
Individual
LAWRENCE SHINZO TAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G81174
CA
208M00000X
Hospitalist Physician
G81174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G811740
MEDI CAL
CA
Enumeration date
08/03/2005
Last updated
08/14/2019
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