MEDICARE: DR. LAWRENCE POSNER MD

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	207R00000X	Internal Medicine Physician	A20698	CA

General Provider Information

NPI Number	:	1952390098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE POSNER MD

Provider Business Mailing Address
First Line	:	3 HARBOR DRIVE
Second Line	:	SUITE 111
City	:	SAUSALITO
State	:	CA
Zip	:	94965
Country	:	US
Telephone Number	:	415-683-2988
Fax Number	:	415-683-2980

Provider Business Practice Location Address
First Line	:	3 HARBOR DRIVE
Second Line	:	SUITE 111
City	:	SAUSALITO
State	:	CA
Zip	:	94965
Country	:	US
Telephone Number	:	415-683-2988
Fax Number	:	415-683-2980

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	02/01/2011

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