Todd B Lawry, MD | |
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
(650) 742-2000 | |
Not Available |
Full Name | Todd B Lawry |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1200 El Camino Real, South San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174601793 | NPI | - | NPPES |
00G834530 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G83453 (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 |
Mailing Address | Practice Location Address |
---|---|
Todd B Lawry, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Todd B Lawry, MD 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000 |
Thomas J. Morris, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
James C. Barton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
David R. Murad Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Ivor Caro, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Dna Way, Mailstop 84, Genentech, South San Francisco, CA 94080 Phone: 650-225-6370 |