J. Lawrence Depolo M.D., Inc.

LBN: J. Lawrence Depolo M.D., Inc.
J. Lawrence Depolo M.D., Inc. is an health care organization with primary practice located at 1801 E March Ln Suite C300, Stockton CA 95210-6629. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. J. Lawrence Depolo M.D., Inc. can be contacted via phone (209) 948-1425, or through Depolo, J Lawrence via phone (209) 948-1425.

Contact Information

Primary practice address
1801 E March Ln Suite C300 Stockton CA 95210-6629
Fax: (209) 464-0193
Website:
Authorized official contact:
Name: Depolo, J Lawrence Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A22978 California

Profile Details

NPI number 1427110691
LBN Legal business name J. Lawrence Depolo M.D., Inc.
DBA Doing business as
Authorized official Depolo, J Lawrence Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427110691 NPPES
California MEDICAID 00A229780

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