Individual
DR. JOHN MARK LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAWRENCE JOHN MARK
Contact information
Practice address
11078 W SUNSET BLVD, LOS ANGELES, CA 90049-3232
(310) 476-7901
Mailing address
11078 W SUNSET BLVD, LOS ANGELES, CA 90049-3232
(310) 476-7901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GFE22096
CA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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