Individual
LAWRENCE EUGENE WASPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 SPANOS COURT, #203, MODESTO, CA 95355
(209) 522-0600
(209) 491-0116
Mailing address
446 SELBY LN, LIVERMORE, CA 94551-6346
(209) 480-3450
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G57417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G574170
—
CA
Enumeration date
04/08/2006
Last updated
03/25/2024
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