NPI Index

DR. LAWRENCE WILLISON IV, M.D., PH.D.

Psychiatry & Neurology - Psychiatry

Active Individual
NPI: 1104070010

Practice Address

760 WESTWOOD PLZ
SUITE C8-225, BOX 951759
Los Angeles, CA 90024

Phone: (310) 825-0548

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Psychiatry & Neurology - Psychiatry 2084P0800X Yes A111776 (CA)

Frequently Asked Questions

NPI 1104070010 is the National Provider Identifier for DR. LAWRENCE WILLISON IV, M.D., PH.D., a Psychiatry & Neurology - Psychiatry provider located in Los Angeles, CA. This NPI was enumerated on November 5, 2008.
DR. LAWRENCE WILLISON IV, M.D., PH.D. practices at 760 WESTWOOD PLZ, SUITE C8-225, BOX 951759, Los Angeles, CA 90024.

Quick Facts

NPI
1104070010
Type
Individual
Enumerated
Nov 5, 2008
Last Updated
Mar 8, 2011

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