Individual
LAWRENCE S. MASKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 COQUITO WAY, PORTOLA VALLEY, CA 94028-7452
(650) 854-5170
(650) 854-5106
Mailing address
101 COQUITO WAY, PORTOLA VALLEY, CA 94028-7452
(650) 854-5170
(650) 854-5106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G33479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G334790
—
CA
Enumeration date
11/01/2006
Last updated
03/27/2011
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