Organization
KEVIN O. LAWRENCE MD INC
Active
Organization
KEVIN O. LAWRENCE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN ODINNI LAWRENCE MD (OWNER)
(909) 581-6400
Entity
Organization
Contact information
Practice address
10841 WHITE OAK AVE, SUITE 201, RANCHO CUCAMONGA, CA 91730-3811
(909) 581-6400
(909) 581-7275
Mailing address
7201 HAVEN AVE, SUITE E298, RANCHO CUCAMONGA, CA 91701-6065
(909) 581-6400
(909) 581-7275
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A84093
CA
Other
Enumeration date
04/21/2008
Last updated
06/20/2008
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