Healthcare Provider Details

I. General information

NPI: 1144540451
Provider Name (Legal Business Name): LAWRENCE EDWARD KAPLAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 09/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 EMBARCADERO CTR LOBBY LEVEL
SAN FRANCISCO CA
94111-4106
US

IV. Provider business mailing address

4 EMBARCADERO CTR LOBBY LEVEL
SAN FRANCISCO CA
94111-4106
US

V. Phone/Fax

Practice location:
  • Phone: 415-529-4566
  • Fax: 415-291-0489
Mailing address:
  • Phone: 415-529-4566
  • Fax: 415-291-0489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number503OL30907622
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number259107
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number20A14158
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: