Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | C41470 | CA |
NPI | 1629510235 |
---|---|
Provider Name | Dr. Lawrence Awai |
First Address | Clovis, CA 93619-9555 |
Second Address | Clovis, CA 93619-9555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2016 |
Last Update Date | 14/11/2016 |