Individual
LAWRENCE HAROLD RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15335 MORRISON ST, SUITE 304, SHERMAN OAKS, CA 91403-1513
(818) 528-3466
(818) 528-3464
Mailing address
15335 MORRISON ST, SUITE 304, SHERMAN OAKS, CA 91403-1513
(818) 528-3466
(818) 528-3464
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G16871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083060
—
CA
01
—
ZZZ64205Z
BLUE SHIELD
CA
Enumeration date
03/22/2006
Last updated
12/30/2014
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