Healthcare Provider Details

I. General information

NPI: 1477646701
Provider Name (Legal Business Name): MEG LAWRENCE, M.D., A.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3754 CLAIREMONT DR
SAN DIEGO CA
92117-5916
US

IV. Provider business mailing address

3754 CLAIREMONT DR
SAN DIEGO CA
92117-5916
US

V. Phone/Fax

Practice location:
  • Phone: 619-276-6912
  • Fax: 858-483-3567
Mailing address:
  • Phone: 619-276-6912
  • Fax: 858-483-3567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC50118
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC50118
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberC50118
License Number StateCA

VIII. Authorized Official

Name: DR. MEG LAWRENCE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 619-276-6912