Individual
LAWRENCE EDWARD ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
Mailing address
9039 BLUFORD AVE, WHITTIER, CA 90602-3517
(562) 587-4232
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35560
CA
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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