Individual
DR. LAWRENCE DIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1171 TORO ST, C, SAN LUIS OBISPO, CA 93401-3308
(805) 544-0237
Mailing address
PO BOX 15858, SAN LUIS OBISPO, CA 93406-5858
(805) 544-0237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
20076
CA
111NS0005X
Sports Physician Chiropractor
Primary
20076
CA
Other
Enumeration date
10/17/2006
Last updated
11/30/2015
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