Provider Demographics
NPI:1114651411
Name:DUPLECHAN III, LAWRENCE (DPT)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:DUPLECHAN III
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 SUNSET ROSE DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-7318
Mailing Address - Country:US
Mailing Address - Phone:951-741-0462
Mailing Address - Fax:
Practice Address - Street 1:1561 E ONTARIO AVE STE 101
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-6663
Practice Address - Country:US
Practice Address - Phone:951-407-9223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist