Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A-21584 | CA |
NPI | 1053526632 |
---|---|
Provider Name | Mr. Richard Leslie Norman |
First Address | Lindsay, CA 93247 |
Second Address | Lindsay, CA 93247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |