Organization
LAWRENCE D EISENHAUER MD INC LAWRENCE D EISENHAUER M D OFFICER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE DAVID EISENHAUER MD (PRESIDENT/OWNER)
(760) 753-8413
Entity
Organization
Contact information
Practice address
320 SANTA FE DR, SUITE LL4, ENCINITAS, CA 92024-5138
(760) 753-8413
(760) 753-5351
Mailing address
320 SANTA FE DR, SUITE LL4, ENCINITAS, CA 92024-5138
(760) 753-8413
(760) 753-5351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G36375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083773246
TYPE 1 NPI
CA
Enumeration date
01/27/2009
Last updated
12/02/2010
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