Individual
DR. LAWRENCE DAVID EISENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SANTA FE DR, STE LL4, ENCINITAS, CA 92024-5138
(760) 753-8413
(760) 753-5351
Mailing address
320 SANTA FE DR, STE LL4, ENCINITAS, CA 92024-5138
(760) 753-8413
(760) 753-5351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G036375
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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