Individual
MR. PATRICK LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
17305 RALPHS RANCH RD, SAN DIEGO, CA 92127-7869
(303) 704-8909
Mailing address
17305 RALPHS RANCH RD, SAN DIEGO, CA 92127-7869
(303) 704-8909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
777
OK
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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