Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | G19069 | CA |
NPI | 1689894057 |
---|---|
Provider Name | Dr. Lawrence Stephen Guinney |
First Address | Santa Rosa, CA 95405-7868 |
Second Address | Santa Rosa, CA 95405-7868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |