Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C031854 | CA |
NPI | 1528168184 |
---|---|
Provider Name | Stephen Lowman Larmore |
First Address | San Ramon, CA 94583-5409 |
Second Address | San Ramon, CA 94583-5409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 23/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A34736 | (02) | CA |