Individual
LAWRENCE GORDON FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58581 US HIGHWAY 371, STE F, G, H, ANZA, CA 92539-9331
(951) 763-4759
Mailing address
230 HOSPITAL DR STE B, UKIAH, CA 95482-4563
(707) 463-3501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2534A
WY
208600000X
Surgery Physician
35.042130
OH
208600000X
Surgery Physician
Primary
A34957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A349570
—
CA
Enumeration date
07/14/2006
Last updated
05/26/2015
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