Shaw, Laurence Duane
Shaw, Laurence Duane is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Shaw, Laurence Duane can be contacted via phone (818) 902-2978.Contact Information
Primary practice address
15107 Vanowen St
Van Nuys CA 91405-4542
Phone: (818) 902-2978
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | G35656 | California |
Profile Details
NPI number | 1447342332 |
---|---|
LBN Legal business name | Shaw, Laurence Duane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1447342332 | NPPES |
California | Other | G356560 | MEDICAL LICENSE |
California | MEDICAID | 00G356560 | MEDICAL LICENSE |
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