MEDICARE: LAWRENCE ALAN TEPLIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E1397	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134139777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE ALAN TEPLIN DPM

Provider Business Mailing Address
First Line	:	2637 SHADELANDS DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-2512
Country	:	US
Telephone Number	:	925-948-8143
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 SAN RAMON VALLEY BLVD
Second Line	:	STE. 118
City	:	DANVILLE
State	:	CA
Zip	:	94526-4038
Country	:	US
Telephone Number	:	925-362-1080
Fax Number	:	925-362-1083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	04/17/2018

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Directions to “ LAWRENCE ALAN TEPLIN DPM” Practice Location

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