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Organization

LAURENCE J.S. WEEKES M.D. AND LINDA TIGNER WEEKES, M.D. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURENCE J.S. WEEKES M.D. (PRESIDENT)
(805) 577-7977
Entity
Organization

Contact information

Practice address
2650 JONES WAY, SUITE 2, SIMI VALLEY, CA 93065-1203
(805) 577-7977
(805) 577-0745
Mailing address
2650 JONES WAY, SUITE 2, SIMI VALLEY, CA 93065-1203
(805) 577-7977
(805) 577-0745

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28484
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G284840
CA
Enumeration date
04/18/2007
Last updated
12/29/2010
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