Individual
DR. JONATHAN DAVID LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(562) 491-9090
(562) 491-7986
Mailing address
PO BOX 661360, ARCADIA, CA 91066-1360
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G29790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G297900
—
CA
Enumeration date
07/07/2006
Last updated
06/25/2008
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