Lawrence, Larry Ray

Lawrence, Larry Ray is an individual health care provider with primary practice located at 1360 E Herndon Ave Ste 201, Fresno CA 93720-3326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lawrence, Larry Ray can be contacted via phone (559) 449-5050.

Contact Information

Primary practice address
1360 E Herndon Ave Ste 201 Fresno CA 93720-3326
Phone: (559) 449-5050
Fax: (559) 432-2632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G28218 California

Profile Details

NPI number 1164425468
LBN Legal business name Lawrence, Larry Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164425468 NPPES
California MEDICAID 00G282180

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