Individual
DR. LAWRENCE HARRY MATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11633 SAN VICENTE BLVD STE 106, LOS ANGELES, CA 90049-6512
(310) 451-4779
(310) 393-1665
Mailing address
11633 SAN VICENTE BLVD STE 106, LOS ANGELES, CA 90049-6512
(310) 451-4779
(310) 393-1665
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
A43801
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
A43801
CA
207NS0135X
Procedural Dermatology Physician
A43801
CA
Other
Enumeration date
03/26/2007
Last updated
04/15/2024
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