Individual
DR. LAWRENCE ERWIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3642
(951) 784-3266
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3769
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G435560
CA
Other
Enumeration date
05/01/2006
Last updated
02/26/2020
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