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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447342332 NPPES
California Other G356560 MEDICAL LICENSE
California MEDICAID 00G356560 MEDICAL LICENSE

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