Individual
DAVID CONRAD LAWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
11750 N DEVRIES RD, LODI, CA 95242-9512
(209) 367-5894
Mailing address
11750 N DEVRIES RD, LODI, CA 95242-9512
(209) 367-5894
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN168028
CA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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