Provider Demographics
NPI:1336299734
Name:LAWRENCE, PAMELA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:189 CRESCENT BAY DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-1320
Mailing Address - Country:US
Mailing Address - Phone:949-715-1030
Mailing Address - Fax:949-715-1058
Practice Address - Street 1:19191 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-4670
Practice Address - Country:US
Practice Address - Phone:949-509-2214
Practice Address - Fax:949-509-2208
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG41231207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA48501Medicare UPIN