Cooper, Lawrence Nathan

Cooper, Lawrence Nathan is an sole proprietor health care provider with primary practice located at 2500 Sixth Ave. Unit 606, San Diego CA 92103-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Cooper, Lawrence Nathan can be contacted via phone (619) 990-5656.

Contact Information

Primary practice address
2500 Sixth Ave. Unit 606 San Diego CA 92103-2122
Fax: (619) 432-1853
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G27092 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G27092 California

Profile Details

NPI number 1518939297
LBN Legal business name Cooper, Lawrence Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Apr 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518939297 NPPES
California MEDICAID 00G270920

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