Provider Demographics
NPI:1881812907
Name:LAWRENCE J SOLOW & SHARON N SOLOW
Entity type:Organization
Organization Name:LAWRENCE J SOLOW & SHARON N SOLOW
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOLOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:831-422-4427
Mailing Address - Street 1:920 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2407
Mailing Address - Country:US
Mailing Address - Phone:831-422-4427
Mailing Address - Fax:831-758-2363
Practice Address - Street 1:920 PARK ROW
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2407
Practice Address - Country:US
Practice Address - Phone:831-422-4427
Practice Address - Fax:831-758-2363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU278332B00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0011470Medicaid
CAR22275Medicare UPIN
CAHA0011470Medicaid