Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 02003051A | IN |
Y | 207X00000X | Orthopaedic Surgeon | 02073 | KY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 02003051A | IN |
N | 207XS0117X | Orthopaedic Spine Surgeon | 20A 4644 | CA |
NPI | 1376584854 |
---|---|
Provider Name | Dr. Lawrence A Vierra |
First Address | Union City, CA 94587-1859 |
Second Address | Union City, CA 94587-1859 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 20/09/2017 |