MEDICARE: LAWRENCE KENNETH ABEND DPM

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	213E00000X	Podiatrist	E3015	CA

General Provider Information

NPI Number	:	1629088448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE KENNETH ABEND DPM

Provider Business Mailing Address
First Line	:	827 DEEP VALLEY DR STE 204
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-3654
Country	:	US
Telephone Number	:	310-377-6926
Fax Number	:	310-541-5746

Provider Business Practice Location Address
First Line	:	827 DEEP VALLEY DR STE 204
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-3654
Country	:	US
Telephone Number	:	310-377-6926
Fax Number	:	310-541-5746

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	02/24/2022

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