Individual
LAWRENCE P SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-3700
(559) 459-3719
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G80892
CA
2086S0127X
Trauma Surgery Physician
Primary
G80892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945090
—
AZ
Enumeration date
08/30/2006
Last updated
01/15/2020
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