LAORENCE WASSOM

SAN FRANCISCO, CA
NPI1578189262
Former NameLAORENCE LACPAO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP61085325)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95014763)
363L00000X Nurse Practitioner
(Licence: CA  95014763)
Enumeration Date2020-06-18
Last Update Date2026-01-20
Business Address
LAORENCE WASSOM NP-C
170 COLUMBUS AVE STE 110
SAN FRANCISCO, CA 94133-5160
Phone number: 415-965-8050
Mailing Address
LAORENCE WASSOM NP-C
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number: