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1649253162
LAWRENCE J FOGEL
SAN LUIS OBISPO, CA
NPI
1649253162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA G18977)
Enumeration Date
2005-11-29
Last Update Date
2011-09-23
Business Address
-- LAWRENCE J FOGEL MD
628 CALIFORNIA BLVD SUITE A-3
SAN LUIS OBISPO, CA 93401-2542
Phone number: 805-543-1683
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Mailing Address
-- LAWRENCE J FOGEL MD
628 CALIFORNIA BLVD SUITE A-3
SAN LUIS OBISPO, CA 93401-2542
Phone number: 805-543-1683
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