Individual
DR. LAWRENCE BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14704 SHANNON RD, LOS GATOS, CA 95032-5751
(408) 356-5603
Mailing address
PO BOX 2328, LOS GATOS, CA 95031-2328
(408) 356-5603
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
C38511
CA
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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