Individual
LAWRENCE SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 GELLERT BLVD STE 229, DALY CITY, CA 94015-2660
(992) 866-8650
Mailing address
529 ANGUS AVE W, SAN BRUNO, CA 94066-4308
(415) 999-8322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95023369
CA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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