Lawrence Gov
Student in an Organized Health Care Education/Training Program in Long Beach, CA. Individual provider (NPI-1).
NPI number1114100930
StatusActive
Last updated in NPPESDec 14, 2007
Details
- NPI
- 1114100930
- Entity type
- Individual (NPI-1)
- Name
- Lawrence Gov
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2007
- Last updated
- Dec 14, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
6950 Lake AveLong Beach, CA 90805-1827
Phone 562-253-3648
Mailing address
6950 Lake AveLong Beach, CA 90805-1827
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All 640 Student in an Organized Health Care Education/Training Program providers in Long Beach · All 16,615 providers in Long Beach
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