Organization
REVIVE NATUROPATHIC MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK LAWRENCE N.D (PRESIDENT)
(760) 306-4842
Entity
Organization
Contact information
Practice address
560 CARLSBAD VILLAGE DR, 202C, CARLSBAD, CA 92008-2391
(760) 452-0763
Mailing address
4085 HARRISON ST, #3, CARLSBAD, CA 92008-3586
(503) 577-8184
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
CA-560
CA
Other
Enumeration date
04/05/2013
Last updated
06/14/2022
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