Individual
DR. LAWRENCE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20265 VENTURA BLVD STE C, WOODLAND HILLS, CA 91364-2550
(818) 669-8669
Mailing address
20265 VENTURA BLVD STE C, WOODLAND HILLS, CA 91364-2550
(818) 669-8669
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC27062
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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