Individual
DR. LAURENCE E SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 S PALISADE DR STE 103, SANTA MARIA, CA 93454-8904
(805) 739-3280
(805) 739-3380
Mailing address
116 S PALISADE DR STE 103, SANTA MARIA, CA 93454-8904
(805) 739-3280
(805) 739-3380
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A49287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A492870
—
CA
01
—
A492870
BLUE SHIELD PIN
CA
01
—
AR271W
MEDICARE ID
CA
Enumeration date
07/31/2006
Last updated
11/03/2023
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