Individual
LAWRENCE E SUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1805 N CALIFORNIA ST STE 201, STOCKTON, CA 95204-6032
(209) 645-4005
(209) 645-6344
Mailing address
1805 N CALIFORNIA ST STE 201, STOCKTON, CA 95204-6032
(209) 645-4005
(209) 645-6344
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A17635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA398197
CA MEDICARE
CA
Enumeration date
10/25/2006
Last updated
12/17/2020
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