Crawford, Gregory Lavarr
Crawford, Gregory Lavarr is an individual health care provider with primary practice located at 6412 Laurel Ave Mountain Mesa, Lake Isabella CA 93240-9529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Crawford, Gregory Lavarr can be contacted via phone (760) 379-2681.Contact Information
Primary practice address
6412 Laurel Ave Mountain Mesa
Lake Isabella CA 93240-9529
Phone: (760) 379-2681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G76087 | California |
Profile Details
| NPI number | 1548217953 |
|---|---|
| LBN Legal business name | Crawford, Gregory Lavarr |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Nov 21st, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548217953 | NPPES |
| California | MEDICAID | 00G760870 |
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