MEDICARE: DR. LAWRENCE HOWARD

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	103TC0700X	Clinical Psychologist	PSY10795	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY107950	OTHER	CA	LOS ANGELES COUNTY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396777546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE HOWARD

Provider Business Mailing Address
First Line	:	PO BOX 3192
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90408-3192
Country	:	US
Telephone Number	:	310-710-2029
Fax Number	:

Provider Business Practice Location Address
First Line	:	12575 PRESTON WAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1823
Country	:	US
Telephone Number	:	310-710-2029
Fax Number	:

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	03/06/2010

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Directions to “ DR. LAWRENCE HOWARD ” Practice Location

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