Marshall, Lawrence
Marshall, Lawrence is an sole proprietor health care provider with primary practice located at 28142 S Western Ave , San Pedro CA 90732-1248. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marshall, Lawrence can be contacted via phone (310) 832-2020.Contact Information
Primary practice address
28142 S Western Ave
San Pedro CA 90732-1248
Phone: (310) 832-2020
Fax: (310) 832-0342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8278T | California |
Profile Details
| NPI number | 1851456586 |
|---|---|
| LBN Legal business name | Marshall, Lawrence |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | May 1st, 2013 - about 11 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 | 1851456586 | NPPES |
| California | MEDICAID | SD0082780 |
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