Organization
KENNETH D. LAXER, M.D., INC
Active
Organization
KENNETH D. LAXER, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LAXER (OWNER)
(415) 287-6746
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST, STE 115, SAN FRANCISCO, CA 94115-2373
(415) 600-7880
(415) 600-7885
Mailing address
2100 WEBSTER ST, STE 115, SAN FRANCISCO, CA 94115-2373
(415) 600-7880
(415) 600-7885
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G28500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G285000
—
CA
Enumeration date
05/22/2009
Last updated
05/22/2009
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