Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC 30802 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | DC 30802 | CA |
N | 111NX0100X | Occupational Health | DC 30802 | CA |
NPI | 1053643056 |
---|---|
Provider Name | Dr. Lawrence C Williams |
First Address | Santa Ana, CA 92705-6634 |
Second Address | Canyon Country, CA 91351-3772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 10/02/2012 |