Provider Demographics
NPI:1144386954
Name:MCGLYNN, LAWRENCE MICHAEL (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MICHAEL
Last Name:MCGLYNN
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-354-8101
Mailing Address - Fax:650-354-8102
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:BUILDING MB3, SUITE 350
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-354-8101
Practice Address - Fax:650-354-8102
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2016-10-19
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Provider Licenses
StateLicense IDTaxonomies
CAA729062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry