Organization
LAWRENCE H RESNICK MD A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE H RESNICK M.D. (PRESIDENT)
(818) 528-3466
Entity
Organization
Contact information
Practice address
15335 MORRISON ST, SUITE 304, SHERMAN OAKS, CA 91403-1513
(818) 528-3466
(818) 528-3464
Mailing address
15335 MORRISON ST, SUITE 304, SHERMAN OAKS, CA 91403-1513
(818) 528-3466
(818) 528-3464
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083060
—
CA
01
—
ZZZ64205Z
BLUE SHIELD
CA
Enumeration date
07/06/2006
Last updated
12/23/2014
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