Larry J Marshall MD a Professional Corporation

NPI #1689884942 in Lakeside, California

Provider Information

NPI Number: 1689884942
Entity Type: Organization
Organization Name: Larry J Marshall MD a Professional Corporation
Primary Specialty: General Practice
Enumeration Date: May 23, 2007
Last Updated: Dec 10, 2010

Practice Location

Address: 12517 LAKESHORE DR
City: Lakeside
State: California
ZIP Code: 92040-3103
Phone: (619) 443-3843

Authorized Official

Name: MR. LARRY J MARSHALL, M.D.
Title: PRESIDENT
Phone: (619) 443-3843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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