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Organization

LAWRENCE H WANETICK MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE H WANETICK M.D. (DOCTOR)
(925) 280-0800
Entity
Organization

Contact information

Practice address
1776 YGNACIO VALLEY RD STE 102, WALNUT CREEK, CA 94598-3100
(925) 280-0800
(925) 944-3338
Mailing address
1776 YGNACIO VALLEY RD STE 102, WALNUT CREEK, CA 94598-3100
(925) 280-0800
(925) 944-3338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G13201
CA

Other

Enumeration date
10/04/2006
Last updated
06/17/2010
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