Individual
LAWRENCE D. PODOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 PATTERSON ROAD, SUITE 2, RIVERBANK, CA 95367
(209) 869-5678
Mailing address
2209 COFFEE RD STE M, MODESTO, CA 95355
(209) 526-8038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G41640
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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