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Organization
GLEN LAWLOR JR MEDICAL CORP
Active
Organization
GLEN LAWLOR JR MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN LAWLOR JR. M.D. (PRESIDENT)
(818) 789-8151
Entity
Organization
Contact information
Practice address
4835 VAN NUYS BLVD STE 111, SHERMAN OAKS, CA 91403-2136
(818) 789-8151
(818) 789-3201
Mailing address
4835 VAN NUYS BLVD STE 111, SHERMAN OAKS, CA 91403-2136
(818) 789-8151
(818) 789-3201
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/18/2012
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