Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G31535 | CA |
NPI | 1275677486 |
---|---|
Provider Name | Dr. Lawrence David Platt |
First Address | Los Angeles, CA 90035-3107 |
Second Address | Los Angeles, CA 90048-5426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 08/07/2007 |