Individual
DR. BRUCE RAYMOND LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2119 S EL CAMINO REAL, OCEANSIDE, CA 92054-6202
(760) 757-3070
(760) 757-7139
Mailing address
2119 S EL CAMINO REAL, OCEANSIDE, CA 92054-6202
(760) 757-3070
(760) 757-7139
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E12730
—
CA
Enumeration date
11/29/2006
Last updated
07/08/2007
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