MEDICARE: DR. LAWRENCE H. ZABNER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	28837	CA

General Provider Information

NPI Number	:	1336299361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE H. ZABNER DMD

Provider Business Mailing Address
First Line	:	4418 VINELAND AVE
Second Line	:	SUITE 224
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-3457
Country	:	US
Telephone Number	:	818-766-5246
Fax Number	:	818-766-7645

Provider Business Practice Location Address
First Line	:	4418 VINELAND AVE
Second Line	:	SUITE 224
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-3457
Country	:	US
Telephone Number	:	818-766-5246
Fax Number	:	818-766-7645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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