Cooper, Lawrence Richard

Cooper, Lawrence Richard is an individual health care provider with primary practice located at 3536 Mendocino Ave 300, Santa Rosa CA 95403-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cooper, Lawrence Richard can be contacted via phone (707) 546-2180.

Contact Information

Primary practice address
3536 Mendocino Ave 300 Santa Rosa CA 95403-3634
Phone: (707) 546-2180
Fax: (707) 546-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G81393 California

Profile Details

NPI number 1801895602
LBN Legal business name Cooper, Lawrence Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 20th, 2021 - about 3 years ago

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 1801895602 NPPES
California MEDICAID 00G813930
California Other 00G813930
California Other 110180276

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