Mcnutt, Lawrence Dale
Mcnutt, Lawrence Dale is an sole proprietor health care provider with primary practice located at 18436 Roscoe Blvd , Northridge CA 91325-4107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Mcnutt, Lawrence Dale can be contacted via phone (818) 435-1800.Contact Information
Primary practice address
18436 Roscoe Blvd
Northridge CA 91325-4107
Phone: (818) 435-1800
Fax: (818) 435-1490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A83196 | California |
Profile Details
| NPI number | 1609070846 |
|---|---|
| LBN Legal business name | Mcnutt, Lawrence Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Dec 5th, 2014 - 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 | 1609070846 | NPPES |
| California | Other | A83196 | MEDICAL LICENSE |
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