Individual
DR. LAWRENCE ROBERT O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 420, GLENDALE, CA 91204-2500
(818) 242-8816
(818) 242-0610
Mailing address
1510 S CENTRAL AVE, SUITE 420, GLENDALE, CA 91204-2500
(818) 242-8816
(818) 242-0610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A25238
CA
207RI0011X
Interventional Cardiology Physician
Primary
A25238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760619856
NPI SCCC
CA
Enumeration date
02/15/2007
Last updated
08/30/2010
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