Individual
CHRISTIE YBARRA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
1111 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 938-0228
(209) 938-0281
Mailing address
2115 CELESTE DR, MODESTO, CA 95355-2616
(209) 517-8813
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
39-07
CA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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