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Individual

LAWRENCE I LONN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 W SHORE RD, BELVEDERE, CA 94920-2461
(415) 435-4443
Mailing address
75 W SHORE RD, BELVEDERE, CA 94920-2461
(415) 435-4443

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G7771
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000G77710
CA
Enumeration date
10/13/2006
Last updated
03/10/2008
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