Individual
LARRY LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 FOUNTAIN AVE, LOS ANGELES, CA 90029-1005
(323) 461-9961
Mailing address
3000 GOFFS FALLS RD, MANCHESTER, NH 03103-6109
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
262954
CA
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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