Provider Demographics
NPI:1922060805
Name:RICE, LAWRENCE STUART (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:STUART
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5565 GROSSMONT CENTER DR
Mailing Address - Street 2:SUITE 551
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3020
Mailing Address - Country:US
Mailing Address - Phone:619-465-2020
Mailing Address - Fax:619-698-1189
Practice Address - Street 1:5565 GROSSMONT CENTER DR
Practice Address - Street 2:SUITE 551
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3020
Practice Address - Country:US
Practice Address - Phone:619-465-2020
Practice Address - Fax:619-698-1189
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2013-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC31021207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA34423Medicare UPIN
CAC31021Medicare PIN
CA0286740001Medicare NSC