Provider Demographics
NPI:1093075129
Name:SPINNER, LAWRENCE I (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:I
Last Name:SPINNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:430 AVENIDA DE LOS ARBOLES
Mailing Address - Street 2:SUITE 201
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-3003
Mailing Address - Country:US
Mailing Address - Phone:805-493-1964
Mailing Address - Fax:805-241-5382
Practice Address - Street 1:430 AVENIDA DE LOS ARBOLES
Practice Address - Street 2:SUITE 201
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-3003
Practice Address - Country:US
Practice Address - Phone:805-493-1964
Practice Address - Fax:805-241-5382
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG573712080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine