Healthcare Provider Details

I. General information

NPI: 1386701159
Provider Name (Legal Business Name): LAWRENCE MENDEL SHUER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR R 229 MAIL CODE 5327
STANFORD CA
94305-2200
US

IV. Provider business mailing address

3413 RIDGEMONT DR
MOUNTAIN VIEW CA
94040-4540
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-6093
  • Fax: 650-723-7813
Mailing address:
  • Phone: 650-723-6093
  • Fax: 650-723-7813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberG39747
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberG39747
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: