Individual
RANDALL L LONSBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
628 CALIFORNIA BLVD, STE F1, SAN LUIS OBISPO, CA 93401-2574
(805) 544-3204
(805) 544-3240
Mailing address
628 CALIFORNIA BLVD, STE F1, SAN LUIS OBISPO, CA 93401-2574
(805) 544-3204
(805) 544-3240
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
40663
CA
Other
Enumeration date
08/01/2006
Last updated
12/08/2014
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