Organization
LAWRENCE W KNEISLEY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE W, KNEISLEY M.D. (OWNER)
(310) 530-8822
Entity
Organization
Contact information
Practice address
23560 MADISON ST, #205, TORRANCE, CA 90505-4708
(310) 530-8822
(310) 530-0288
Mailing address
23560 MADISON STREET, #205, TORRANCE, CA 90505
(310) 530-8822
(310) 530-0288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28290
CA
Other
Enumeration date
05/07/2007
Last updated
09/12/2007
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