Lowell P Theard MD INC

NPI #1023065992 in Culver City, California

Provider Information

NPI Number: 1023065992
Entity Type: Organization
Organization Name: Lowell P Theard MD INC
Primary Specialty: Internal Medicine
Enumeration Date: May 27, 2006
Last Updated: Sep 27, 2013

Practice Location

Address: 3831 HUGHES AVE
Address 2: 705
City: Culver City
State: California
ZIP Code: 90232-2751
Phone: (310) 838-6801

Authorized Official

Name: LOWELL P THEARD, MD
Title: PRESIDENT
Phone: (310) 838-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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