Organization
LAWRENCE S. MOY MD INC
Active
Organization
LAWRENCE S. MOY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE S MOY MD (CEO)
(310) 546-7780
Entity
Organization
Contact information
Practice address
1101 N SEPULVEDA BLVD STE 100, MANHATTAN BEACH, CA 90266-5962
(310) 546-7780
Mailing address
1101 N SEPULVEDA BLVD STE 100, MANHATTAN BEACH, CA 90266-5962
(310) 546-7780
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G62367
CA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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