Lawrence, Bruce Raymond
Lawrence, Bruce Raymond is an sole proprietor health care provider with primary practice located at 2119 S El Camino Real , Oceanside CA 92054-6202. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lawrence, Bruce Raymond can be contacted via phone (760) 757-3070.Contact Information
Primary practice address
2119 S El Camino Real
Oceanside CA 92054-6202
Phone: (760) 757-3070
Fax: (760) 757-7139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E1273 | California |
Profile Details
| NPI number | 1417024852 |
|---|---|
| LBN Legal business name | Lawrence, Bruce Raymond |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417024852 | NPPES |
| California | MEDICAID | 000E12730 |
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