Individual
DR. LAWRENCE ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1595 SOQUEL DR, STE 400, SANTA CRUZ, CA 95065-1719
(831) 475-1111
(831) 476-5020
Mailing address
1595 SOQUEL DR, STE 330, SANTA CRUZ, CA 95065-1719
(831) 465-7761
(831) 475-1156
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G079252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0028554
MEDI-CAL ID NUMBER
CA
Enumeration date
09/06/2006
Last updated
07/09/2007
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