Individual
BRANDON KENNETH LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
GRANDVIEW MEDICAL-DENTAL CLINIC (GMDC) 1000 WALLACE WAY, GRANDVIEW, WA 98930
(509) 788-1702
(509) 786-1022
Mailing address
22436 BIRDS EYE DR, DIAMOND BAR, CA 91765-2405
(190) 986-1048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14275122
CA
Other
Enumeration date
03/27/2024
Last updated
04/01/2024
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