Individual
LAWRENCE PETER LEICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 N INDIAN CANYON DR, STE E218, PALM SPRINGS, CA 92262-4885
(760) 416-4860
(760) 416-4903
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
C42308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C423080
—
CA
Enumeration date
06/30/2005
Last updated
04/17/2017
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