LAWRENCE GOV

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1114100930

Practice Address

6950 LAKE AVE
Long Beach, CA 90805

Phone: (562) 253-3648

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1114100930 is the National Provider Identifier for LAWRENCE GOV, a Student in an Organized Health Care Education/Training Program provider located in Long Beach, CA. This NPI was enumerated on December 14, 2007.
LAWRENCE GOV practices at 6950 LAKE AVE, Long Beach, CA 90805.

Quick Facts

NPI
1114100930
Type
Individual
Enumerated
Dec 14, 2007
Last Updated
Dec 14, 2007

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