Individual
DR. RANDOLPH SCHUYLER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 LAS TABLAS RD, SUITE C, TEMPLETON, CA 93465-9711
(805) 434-0811
(805) 434-3455
Mailing address
1320 LAS TABLAS RD, SUITE C, TEMPLETON, CA 93465-9711
(805) 434-0811
(805) 434-3455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G32240
CA
208600000X
Surgery Physician
Primary
G32240
CA
2086S0129X
Vascular Surgery Physician
G32240
CA
Other
Enumeration date
02/01/2007
Last updated
09/06/2019
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