Individual
LAWRENCE BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2340 CLAY ST, 4TH FLOOR, SAN FRANCISCO, CA 94115-1932
(415) 600-1062
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G47765
CA
Other
Enumeration date
07/20/2006
Last updated
04/26/2026
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