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Individual

CHRIS LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1738 S TREMONT ST, OCEANSIDE, CA 92054-5309
(760) 439-2800
Mailing address
32912 PATERNO ST, TEMECULA, CA 92592

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
261406
CA

Other

Enumeration date
12/27/2011
Last updated
01/20/2012
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