Individual
DR. LAWRENCE MICHAEL BRUKSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 468W, SANTA MONICA, CA 90404-2180
(310) 255-0990
(310) 255-0996
Mailing address
2001 SANTA MONICA BLVD., SUITE 468W, SANTA MONICA, CA 90404
(310) 255-0990
(310) 255-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G31595
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G31595
CA
Other
Enumeration date
05/06/2006
Last updated
01/09/2024
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