Individual provider · Type 1 NPI

Lawrence Gov

Student in an Organized Health Care Education/Training Program · Long Beach, CA

NPI number 1114100930 Active

Practice location

6950 Lake Ave
Long Beach, CA 90805-1827

Call (562) 253-3648 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114100930

Lawrence Gov's National Provider Identifier is 1114100930, issued on Dec 14, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Beach, CA. The record was last updated on Dec 14, 2007.