Lawrence Michael Bruksch M.D.

NPI 1073562203 - Specialist - 174400000X

NPI Details
NPI 1073562203
Gender Male
Enumeration Date 05/06/2006
Last Updated 12/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2001 SANTA MONICA BLVD.
SUITE 468W
SANTA MONICA CA, 90404, US
Phone (310) 255-0990
Fax (310) 255-0996
Business Location
2001 SANTA MONICA BLVD.
SUITE 468W
SANTA MONICA CA, 90404, US
Phone (310) 255-0990
Fax (310) 255-0996
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G31595
Remove 1073562203 NPI Number
 

According to our database, Dr. Lawrence Michael Bruksch M.D. NPI is 1073562203, taxonomy code is 174400000X and license number is G31595, license state is located at California. Lawrence Michael Bruksch M.D. physically located at 2001 Santa Monica Blvd., Santa Monica CA, 90404. NPI Number Lawrence Michael Bruksch M.D. has the Individual type.

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1073562203 NPI number is provided on an as is basis without warranty of any kind. 1073562203 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Michael Bruksch M.D. are for informational purposes only.