Individual
DR. JOHN LAWRENCE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 OLIVET RD, SANTA ROSA, CA 95401-3810
(707) 540-0929
Mailing address
1415 OLIVET RD, SANTA ROSA, CA 95401-3810
(707) 540-0929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C032402
CA
282N00000X
General Acute Care Hospital
Primary
CO32402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5675
VOLUNTARY TEACHING FACULTY, CALIFORNIA PACIFIC MEDICAL CENTER, SAN FRANCISCO
CA
Enumeration date
03/18/2011
Last updated
03/18/2011
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