Organization
GLEN LAWLOR JR MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN LAWLOR JR. M.D. (PRESIDENT)
(818) 789-8151
Entity
Organization
Contact information
Practice address
4835 VAN NUYS BLVD STE 111, SHERMAN OAKS, CA 91403-2136
(818) 789-8151
(818) 789-3201
Mailing address
4835 VAN NUYS BLVD STE 111, SHERMAN OAKS, CA 91403-2136
(818) 789-8151
(818) 789-3201
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/18/2012
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