Individual
MR. LAURENCE MARION RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25825 VERMONT AVE, KAISER PERMANENTE,LAKESIDE MODULE 5, HARBOR CITY, CA 90710-3518
(310) 517-3332
Mailing address
2348 LIVE OAK MEADOWS RD, MALIBU, CA 90265-3009
(310) 629-3332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12425
CA
Other
Enumeration date
01/04/2007
Last updated
11/29/2021
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