Lawrence David Gates P.A-C

NPI 1023059318 - Physician Assistant - 363A00000X

NPI Details
NPI 1023059318
Gender Male
Enumeration Date 06/09/2006
Last Updated 05/15/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
400 N. PEPPER AVENUE
COLTON CA, 92324, US
Phone (909) 580-1400
Fax
Business Location
2100 POWELL STREET
STE 920
EMERYVILLE CA, 94608-1803, US
Phone (510) 350-2600
Fax (510) 879-9100
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA18208
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According to our database, Lawrence David Gates P.A-C NPI is 1023059318, taxonomy code is 363A00000X and license number is PA18208, license state is located at California. Lawrence David Gates P.A-C physically located at 400 N. Pepper Avenue, Colton CA, 92324. NPI Number Lawrence David Gates P.A-C has the Individual type.

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1023059318 NPI number is provided on an as is basis without warranty of any kind. 1023059318 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence David Gates P.A-C are for informational purposes only.