Individual
DR. KEVIN O LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10841 WHITE OAK AVE, SUITE 201, RANCHO CUCAMONGA, CA 91730-3811
(909) 581-6400
(909) 581-7275
Mailing address
7211 HAVEN AVE, SUITE E298, RANCHO CUCAMONGA, CA 91701-6064
(909) 581-6400
(909) 581-7275
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A84093
CA
Other
Enumeration date
12/22/2005
Last updated
03/31/2017
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