Dr Monica A Lawry, MD | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | Dr Monica A Lawry |
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Gender | Female |
Speciality | Dermatology |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417998816 | NPI | - | NPPES |
GR0048630 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G83452 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Golden State Dermatology Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605 |
Mailing Address | Practice Location Address |
---|---|
Dr Monica A Lawry, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-2552 | Dr Monica A Lawry, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Shadi Rashtak, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
John Kevin Geisse, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810 | |
Eileen Crowley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Serena Mraz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2290 Sacramento St, Vallejo, CA 94590 Phone: 707-643-5785 Fax: 707-643-8810 | |
Robin St. Clair Gray, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Paradi Mirmirani, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |