Individual
DR. BRUCE PETER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 30TH ST, 2ND FLR, OAKLAND, CA 94609-3301
(510) 465-2500
(510) 465-2502
Mailing address
2710 TELEGRAPH AVE, STE 240, OAKLAND, CA 94612-1771
(510) 465-2500
(510) 465-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G24736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G247360
—
CA
Enumeration date
07/26/2006
Last updated
04/29/2020
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