Davis, Lawrence G.

Davis, Lawrence G. is an individual health care provider with primary practice located at 6600 Bruceville Rd , Sacramento CA 95823-4671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Davis, Lawrence G. can be contacted via phone (916) 688-2000.

Contact Information

Primary practice address
6600 Bruceville Rd Sacramento CA 95823-4671
Phone: (916) 688-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G76884 California

Profile Details

NPI number 1104905835
LBN Legal business name Davis, Lawrence G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 22nd, 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 1104905835 NPPES
California MEDICAID 00G768840

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