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Individual
LAWRENCE RICHARD COOPER
Active
Individual
LAWRENCE RICHARD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G81393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G813930
BLUE SHIELD OF CALIFORNIA
CA
05
—
00G813930
—
CA
01
—
110180276
RAILROAD MEDICARE
CA
Enumeration date
07/14/2005
Last updated
10/20/2021
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