Provider Demographics
NPI:1912921180
Name:DILLER, LAWRENCE HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:HOWARD
Last Name:DILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2099 MT DIABLO BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-8495
Mailing Address - Country:US
Mailing Address - Phone:925-945-6060
Mailing Address - Fax:925-256-7110
Practice Address - Street 1:2099 MT DIABLO BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8495
Practice Address - Country:US
Practice Address - Phone:925-945-6060
Practice Address - Fax:925-256-7110
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG342982080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics