Individual
DR. LAWRENCE DAVID DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20055 LAKE CHABOT RD, # 110, CASTRO VALLEY, CA 94546
(510) 886-3138
(510) 373-1616
Mailing address
1320 EL CAPITAN DR, # 300, DANVILLE, CA 94526-6258
(510) 886-3138
(510) 373-1616
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
DR.0054873
CO
207T00000X
Neurological Surgery Physician
Primary
G84805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75639700
—
CO
Enumeration date
05/23/2006
Last updated
03/17/2016
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