Individual
MR. RAY W. LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2080 CENTURY PARK E STE 1702, LOS ANGELES, CA 90067-2020
(310) 201-0731
(310) 201-9665
Mailing address
2080 CENTURY PARK E STE 1702, LOS ANGELES, CA 90067-2020
(310) 201-0731
(310) 201-9665
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU1415
LICENSE NUMBER
CA
01
—
HA3097
DISPENCING LICENSE
CA
Enumeration date
04/09/2007
Last updated
07/08/2007
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