Individual
DR. LAWRENCE BRENT BRILLIANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 RALSTON AVE, MILL VALLEY, CA 94941-1024
(650) 766-8529
Mailing address
8 RALSTON AVE, MILL VALLEY, CA 94941-1024
(650) 766-8529
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
C32839
CA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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