Matt, Lawrence Harry
Matt, Lawrence Harry is an sole proprietor health care provider with primary practice located at 11633 San Vicente Blvd Ste 106 , Los Angeles CA 90049-6512. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology is his primary health care specialty. Matt, Lawrence Harry can be contacted via phone (310) 451-4779.Contact Information
Primary practice address
11633 San Vicente Blvd Ste 106
Los Angeles CA 90049-6512
Phone: (310) 451-4779
Fax: (310) 393-1665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | A43801 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A43801 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | A43801 | California |
Profile Details
| NPI number | 1326166521 |
|---|---|
| LBN Legal business name | Matt, Lawrence Harry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Apr 15th, 2024 - about 2 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.
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