MEDICARE: DR. LAWRENCE DIETER D.C.

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	111NS0005X	Sports Physician Chiropractor	20076	CA
2	111N00000X	Chiropractor	20076	CA

General Provider Information

NPI Number	:	1225119233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE DIETER D.C.

Provider Business Mailing Address
First Line	:	PO BOX 15858
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93406-5858
Country	:	US
Telephone Number	:	805-544-0237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 TORO ST
Second Line	:	C
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-3308
Country	:	US
Telephone Number	:	805-544-0237
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	11/30/2015

Similar Medicare Providers

1891880910 — MR. ROBERT STEVEN STONE M.F.T.
Practice Location Address:

20908 AVENUE SAN LUIS
WOODLAND HILLS, CA
91364-3308

Practice Phone: 818-999-4812
Practice Fax:

1174528889 — DR. JEFFRY D CARDNEAU MD
Practice Location Address:

99 MONTECILLO RD , MOB 1, 2ND FLOOR, DEPARTMENT OF SURGERY
SAN RAFAEL, CA
94903-3308

Practice Phone: 415-444-3131
Practice Fax:

1326020694 — DR. SCOTT E PINNER M.D.
Practice Location Address:

99 MONTECILLO RD
SAN RAFAEL, CA
94903-3308

Practice Phone: 415-444-4977
Practice Fax:

1750369575 — ERIC GELINO M.D.
Practice Location Address:

99 MONTECILLO RD , SAN RAFAEL KAISER PERMANENTE, RADIOLOGY DEPARTMENT
SAN RAFAEL, CA
94903-3308

Practice Phone: 415-444-2066
Practice Fax:

1194785022 — JOHN E ALEXANDER MD
Practice Location Address:

3308 FOSTER ST
SAN ANGELO, TX
76903-9314

Practice Phone: 325-658-3576
Practice Fax: 325-658-7737

1942260898 — EDWARD H SNYDER MD
Practice Location Address:

3308 FOSTER ST
SAN ANGELO, TX
76903-9314

Practice Phone: 325-658-3576
Practice Fax: 325-658-7737

Directions to “ DR. LAWRENCE DIETER D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.