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Organization
RANDOLPH S LAWRENCE MD A MEDICAL CORP
Active
Organization
RANDOLPH S LAWRENCE MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ROMERO LAWRENCE (OFFICE MGR. - PART OWNER)
(805) 434-0811
Entity
Organization
Contact information
Practice address
1320 LAS TABLAS RD, SUITE C, TEMPLETON, CA 93465-9711
(805) 434-0811
(805) 434-3455
Mailing address
1320 LAS TABLAS RD, SUITE C, TEMPLETON, CA 93465-9711
(805) 434-0811
(805) 434-3455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G32240
CA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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