Fong, Lawrence
Fong, Lawrence is an sole proprietor health care provider with primary practice located at 1600 Divisadero Street , San Francisco CA 94143-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Fong, Lawrence can be contacted via phone (415) 353-7171.Contact Information
Primary practice address
1600 Divisadero Street
San Francisco CA 94143-0001
Phone: (415) 353-7171
Fax: (415) 353-7094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G78909 | California |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | G78909 | California |
Profile Details
| NPI number | 1316901630 |
|---|---|
| LBN Legal business name | Fong, Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Oct 8th, 2008 - about 16 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 | 1316901630 | NPPES |
| California | MEDICAID | 00G789090 |
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