Harkless, Lawrence B

Harkless, Lawrence B is an individual health care provider with primary practice located at 795 E 2Nd St Suite 7, Pomona CA 91766-2007. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Harkless, Lawrence B can be contacted via phone (909) 706-3877.

Contact Information

Primary practice address
795 E 2Nd St Suite 7 Pomona CA 91766-2007
Phone: (909) 706-3877
Fax: (909) 706-3942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4746 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4746 California

Profile Details

NPI number 1699882753
LBN Legal business name Harkless, Lawrence B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 10th, 2013 - about 12 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 1699882753 NPPES
California Other AR222Z MEDICARE NO CA PTAN
California Other AR222Y MEDICARE NO CA PTAN
California Other E4746 MEDICARE NO CA PTAN
California Other PO1001250 MEDICARE NO CA PTAN

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