Individual
LAWRENCE J BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5340 ELVAS AVENUE, SUITE 600, SACRAMENTO, CA 95819-2385
(916) 739-1505
(916) 739-1426
Mailing address
5340 ELVAS AVENUE, SUITE 600, SACRAMENTO, CA 95819-2385
(916) 739-1505
(916) 739-1426
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C34793
CA
Other
Enumeration date
10/14/2006
Last updated
10/23/2018
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