Liwanag, Lawrence Peralta
Liwanag, Lawrence Peralta is an individual health care provider with primary practice located at 127 Hospital Dr Ste 101, Vallejo CA 94589-2500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Liwanag, Lawrence Peralta can be contacted via phone (707) 552-8795.Contact Information
Primary practice address
127 Hospital Dr Ste 101
Vallejo CA 94589-2500
Phone: (707) 552-8795
Fax: (707) 552-9638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT30202 | California |
Profile Details
| NPI number | 1285618140 |
|---|---|
| LBN Legal business name | Liwanag, Lawrence Peralta |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Apr 24th, 2015 - about 10 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 | 1285618140 | NPPES |
| California | Other | OPT302020 | MEDICARE PTAN |
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