Provider Demographics
NPI:1235354432
Name:DWORET, LAURENCE RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:RONALD
Last Name:DWORET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 TORO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-1633
Mailing Address - Country:US
Mailing Address - Phone:805-969-2333
Mailing Address - Fax:
Practice Address - Street 1:475 TORO CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-1633
Practice Address - Country:US
Practice Address - Phone:805-969-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32008208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice