Individual
DR. LAWRENCE DEAN BISTRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MEDICAL PLAZA DR STE 190, ROSEVILLE, CA 95661-2867
(916) 679-3590
(916) 482-3647
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
(916) 679-3513
(916) 679-3563
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A91686
CA
207RP1001X
Pulmonary Disease Physician
A91686
CA
Other
Enumeration date
04/24/2007
Last updated
10/10/2019
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