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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801895602 | NPPES |
California | MEDICAID | 00G813930 | |
California | Other | 00G813930 | |
California | Other | 110180276 |
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