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1013151976
LAWRENCE RICHARD FAZIOLA
ORANGE, CA
NPI
1013151976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA A107356)
Enumeration Date
2009-04-22
Last Update Date
2009-04-22
Business Address
DR. LAWRENCE RICHARD FAZIOLA M.D.
101 THE CITY DR S ROUTE 88
ORANGE, CA 92868-3201
Phone number: 714-506-0693
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Mailing Address
DR. LAWRENCE RICHARD FAZIOLA M.D.
101 THE CITY DR S ROUTE 88
ORANGE, CA 92868-3201
Phone number: 714-506-0693
Copy
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