Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A82619 | CA |
NPI | 1114964202 |
---|---|
Provider Name | Lawrence L Lin |
First Address | Thousand Oaks, CA 91320-6439 |
Second Address | Thousand Oaks, CA 91320-6439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 06/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H57417 | (02) |