Organization
LAWRENCE ANESTHESIA A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK LAWRENCE OWENS (OWNER)
(209) 956-7725
Entity
Organization
Contact information
Practice address
1801 COLORADO AVE STE 140, TURLOCK, CA 95382-2711
(209) 956-7725
(209) 216-3475
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
06/04/2020
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