GRANT DUDLEY LAWLESS

THOUSAND OAKS, CA
NPI1871854695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD-039917-L)
Enumeration Date2012-06-07
Last Update Date2012-06-07
Business Address
GRANT DUDLEY LAWLESS M.D.
956 PASEO SANTA CRUZ
THOUSAND OAKS, CA 91320
Phone number: 805-376-0411
Mailing Address
GRANT DUDLEY LAWLESS M.D.
P.O. BOX 786
NEWBURY PARK, CA 91319
Phone number: 805-376-0411
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