Healthcare Provider Details

I. General information

NPI: 1295780971
Provider Name (Legal Business Name): LAURENCE RICHARD SEAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2767 OLIVE HIGHWAY
OROVILLE CA
95966
US

IV. Provider business mailing address

PO BOX 5040
OROVILLE CA
95966
US

V. Phone/Fax

Practice location:
  • Phone: 530-532-8648
  • Fax: 530-538-3117
Mailing address:
  • Phone: 530-532-8648
  • Fax: 530-538-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberG45475
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG45475
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: