Lawrence Eldred Heiskell
Emergency Medical Services
Magtftc Mcagcc Bld 1145 Sturgis Street
Twentynine Palms
, California 92278-8250
Lawrence Eldred Heiskell
Emergency Medical Services
Magtftc Mcagcc Bld 1145 Sturgis Street
Twentynine Palms
, California 92278-8250
(760) 778-7929
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Lawrence Eldred Heiskell
- 68600 Durango Rd
- Cathedral City, CA
- Zip : 92234-3839
- Fax : (760) 778-7929
- Phone : (760) 325-2591
Second Address
- Lawrence Eldred Heiskell
- Magtftc Mcagcc Bld 1145 Sturgis Street
- Twentynine Palms, CA
- Zip : 92278-8250
- Phone : (760) 839-2354
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | AO46010 | CA |
National Provider Identifier
| NPI | 1023089570 |
|---|---|
| Provider Name | Lawrence Eldred Heiskell |
| First Address | Cathedral City, CA 92234-3839 |
| Second Address | Twentynine Palms, CA 92278-8250 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2006 |
| Last Update Date | 16/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.