DR. Lawrence Glen Mock, OD
NPI #1164419149 in Walnut Creek, California
Provider Information
- NPI Number
- 1164419149
- Entity Type
- Individual
- Name
- DR. Lawrence Glen Mock, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Oct 4, 2005
- Last Updated
- Apr 12, 2010
Practice Location
- Address
- 1389 N BROADWAY
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94596-4636
- Phone
- (925) 930-7484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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