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General NPI Number Information
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NPI Number | 1417075490
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Entity Type | Organization
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Legal Business Name | LORENZO G. WALKER, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 2001 SOLAR DR SUITE 275
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City | OXNARD
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State | CA
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Zip | 93036-2645
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Country | US
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Telephone | 805-485-7764
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Fax | 805-604-4763
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Provider Business Mailing Address
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Address Line | 2001 SOLAR DR SUITE 275
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City | OXNARD
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State | CA
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Zip | 93036-2645
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Country | US
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Telephone | 805-485-7764
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Fax | 805-604-4763
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Authorized Official
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Title or Position | OWNER
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Name | DR. LORENZO G. WALKER
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Credential | M.D.
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Telephone | 805-485-7764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | G62014
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License Number State | CA
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