Individual
DR. LAWRENCE J GEISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10861 CHERRY ST, STE 204, LOS ALAMITOS, CA 90720
(562) 598-3160
(562) 598-7383
Mailing address
PO BOX 250, LOS ALAMITOS, CA 90720
(562) 598-3160
(562) 598-7383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G51765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G517650
—
CA
01
—
G51765A
MEDICARE PTAN
CA
Enumeration date
02/02/2006
Last updated
11/25/2020
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