Healthcare Provider Details

I. General information

NPI: 1457691503
Provider Name (Legal Business Name): LESLEY LAWRENSON M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14608 HAWTHORNE BLVD
LAWNDALE CA
90260-1521
US

IV. Provider business mailing address

PO BOX 80869
CITY OF INDUSTRY CA
91716-8420
US

V. Phone/Fax

Practice location:
  • Phone: 424-452-6068
  • Fax: 424-452-6069
Mailing address:
  • Phone: 626-956-8009
  • Fax: 626-956-8010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA133577
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: