Dickinson, Lawrence David

Dickinson, Lawrence David is an individual health care provider with primary practice located at 20055 Lake Chabot Rd # 110, Castro Valley CA 94546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dickinson, Lawrence David can be contacted via phone (510) 886-3138.

Contact Information

Primary practice address
20055 Lake Chabot Rd # 110 Castro Valley CA 94546
Phone: (510) 886-3138
Fax: (510) 373-1616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G84805 California
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X DR.0054873 Colorado

Profile Details

NPI number 1083669592
LBN Legal business name Dickinson, Lawrence David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Mar 17th, 2016 - about 8 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 1083669592 NPPES
Colorado MEDICAID 75639700

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