MR. Jerry Alan Lawrence, REP
NPI #1285900522 in Huntington Beach, California
Provider Information
- NPI Number
- 1285900522
- Entity Type
- Individual
- Name
- MR. Jerry Alan Lawrence, REP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Credential
- REP
- Enumeration Date
- Mar 30, 2012
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 10061 FORRESTAL DR
- City
- Huntington Beach
- State
- California
- ZIP Code
- 92646-3717
- Phone
- (714) 403-1263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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