Lawrence J Jaffe Md A Medical Corporation

NPI 1265470694 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1265470694
Enumeration Date 06/04/2006
Last Updated 01/22/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAWRENCE JAY LAWRENCE
Position PRESIDENT/OWNER
Phone (619) 223-9638
Fax
Practice Location
205 WALNUT AVE
SAN DIEGO CA, 92103-4903, US
Phone (619) 223-9638
Fax
Business Location
1205 PACIFIC HWY
#1206
SAN DIEGO CA, 92101-3326, US
Phone (619) 223-9638
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number A32274
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According to our database, Lawrence J Jaffe Md A Medical Corporation NPI is 1265470694, taxonomy code is 2084P0800X and license number is A32274, license state is located at California. Lawrence J Jaffe Md A Medical Corporation physically located at 205 Walnut Ave, San Diego CA, 92103-4903. NPI Number 1033115704 has the healthcare provider type.

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1265470694 NPI number is provided on an as is basis without warranty of any kind. 1265470694 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence J Jaffe Md A Medical Corporation are for informational purposes only.