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General NPI Number Information
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NPI Number | 1073553590
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Entity Type | Organization
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Legal Business Name | LAWRENCE L LIN MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 05/08/2022
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Provider Practice Location Address
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Address Line | 1000 NEWBURY RD STE 165
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-6439
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Country | US
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Telephone | 805-449-1778
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Fax | 805-496-9970
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Provider Business Mailing Address
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Address Line | 1000 NEWBURY RD STE 165
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-6439
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Country | US
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Telephone | 805-449-1778
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Fax | 805-496-9970
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE L LIN
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Credential | M.D.
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Telephone | 805-449-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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