Individual
DR. MICHAEL THOMAS LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 OAK PARK BLVD, PISMO BEACH, CA 93449-3264
(805) 476-4949
(808) 473-3165
Mailing address
921 OAK PARK BLVD, PISMO BEACH, CA 93449-3264
(805) 473-4949
(808) 473-3165
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G78037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG780370
—
CA
Enumeration date
11/01/2006
Last updated
02/28/2023
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