Provider Demographics
NPI:1487828539
Name:SCALA, LAWRENCE MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MATTHEW
Last Name:SCALA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2333 BUCHANAN ST
Mailing Address - Street 2:LEVEL B
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1925
Mailing Address - Country:US
Mailing Address - Phone:415-600-3600
Mailing Address - Fax:
Practice Address - Street 1:2333 BUCHANAN ST
Practice Address - Street 2:LEVEL B
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1925
Practice Address - Country:US
Practice Address - Phone:415-600-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-19
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1034892085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology