Individual
LARRY RAY LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 E HERNDON AVE, STE 201, FRESNO, CA 93720-3326
(559) 449-5050
(559) 432-2632
Mailing address
1360 E HERNDON AVE, STE 201, FRESNO, CA 93720-3326
(559) 449-5050
(559) 432-2632
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G28218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G282180
—
CA
Enumeration date
05/31/2005
Last updated
05/14/2008
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