Individual
MR. LAWRENCE KEITH HAIRSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AE-C
Contact information
Practice address
3400 COTTAGE WAY, SUITE G2 #28906, SACRAMENTO, CA 95825-1474
(209) 498-7385
Mailing address
3400 COTTAGE WAY, SUITE G2 28906, SACRAMENTO, CA 95825-1474
(209) 498-7385
Taxonomy
Speciality
Code
Description
License number
State
2279E1000X
Educational Registered Respiratory Therapist
Primary
42652
CA
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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