Individual
MR. LAWRENCE ANTHONY CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP
Contact information
Practice address
1300 N C ST, OXNARD, CA 93030-4006
(805) 983-0305
Mailing address
1300 N C ST, OXNARD, CA 93030-4006
(805) 983-0305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009323
CA
Other
Enumeration date
09/03/2018
Last updated
12/02/2022
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