Individual
DR. DAVID LAWRENCE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 E HERNDON AVE STE 102, FRESNO, CA 93720-2993
(559) 768-3682
(559) 272-0537
Mailing address
7726 N. FIRST ST, PMB 344, FRESNO, CA 93720
(559) 768-3682
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A78818
CA
207YS0123X
Facial Plastic Surgery Physician
Primary
A78818
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A78818
CA
Other
Enumeration date
10/15/2007
Last updated
08/09/2025
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