Individual
DR. LAWRENCE NATHAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 SIXTH AVE., UNIT 606, SAN DIEGO, CA 92103-2122
(619) 990-5656
(619) 432-1853
Mailing address
2500 6TH AVE UNIT 606, SAN DIEGO, CA 92103-2122
(619) 990-5656
(619) 432-1853
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G27092
CA
208D00000X
General Practice Physician
G27092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G270920
—
CA
Enumeration date
02/06/2006
Last updated
04/17/2023
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