Provider Demographics
NPI:1710213517
Name:GOLD, LAWRENCE W (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:W
Last Name:GOLD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4150 V STREET, NEPHROLOGY
Mailing Address - Street 2:PSSB 3500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-3774
Mailing Address - Fax:916-734-7920
Practice Address - Street 1:4150 V STREET, NEPHROLOGY
Practice Address - Street 2:PSSB 3500
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-3774
Practice Address - Fax:916-734-7920
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
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Provider Licenses
StateLicense IDTaxonomies
CAG20168207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology