Individual
LAURENCE MERCER MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 E GRAND AVE, SUITE 1-2, ESCONDIDO, CA 92025-3313
(760) 489-2379
(760) 489-8106
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(760) 489-2379
(760) 489-8106
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A30927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A309270
—
CA
Enumeration date
09/09/2005
Last updated
02/08/2012
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