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NPI Code Detail

MEDICARE: LAWRENCE WILLIAMS II

MEDICARE: LAWRENCE WILLIAMS II
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
1111N00000XChiropractorDC32743CA

General Provider Information

NPI Number : 1871917534
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE WILLIAMS II
Provider Business Mailing Address
First Line : 6456 YORK BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-3642
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6456 YORK BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-3642
Country : US
Telephone Number : 323-343-4337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 02/14/2014

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Directions to “ LAWRENCE WILLIAMS II ” Practice Location

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