Individual
MR. LAWRENCE MILTON PRESTON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3408 BOB WILSON DR, SAN DIEGO, CA 92104
(619) 532-8233
Mailing address
2672 VILLAS WAY, SAN DIEGO, CA 92108-6728
(619) 471-7647
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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