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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