LAWRENCE WANETICK M.D. F.A.C.S. - NPI 1255411104 - Specialist in Walnut Creek, CA

Q: What is Lawrence Wanetick's NPI number?

The NPI number for Lawrence Wanetick is 1255411104. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Lawrence Wanetick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Wanetick was last updated on June 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lawrence Wanetick M.d. F.a.c.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE WANETICK M.D. F.A.C.S. (NPI 1255411104) is an individual specialist in Walnut Creek, California, licensed in California (G13201) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1255411104

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameLAWRENCE WANETICKCredential: M.D. F.A.C.S.

Location Address1776 YGNACIO VALLEY RD, SUITE 102Walnut Creek, CA 94598-3190

Mailing Address1776 Ygnacio Valley Rd, Suite 102Walnut Creek, CA 94598-3190 · (925) 280-0800 · Fax (925) 944-3338

Phone(925) 280-0800

Fax(925) 944-3338

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateJune 16, 2010

✔ NPI 1255411104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G13201

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1776 YGNACIO VALLEY RD, Walnut Creek, CA 94598

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