Lawrence D Eisenhauer MD Inc Lawrence D Eisenhauer M D Officer

Primary specialty

SpecialistTaxonomy code 174400000X

License

G36375 Issued in CA

Legal business name

LAWRENCE D EISENHAUER MD INC LAWRENCE D EISENHAUER M D OFFICER

Practice address

320 Santa Fe Dr
Suite LL4
Encinitas, CA 92024-5138

Phone

(760) 753-8413

Fax

(760) 753-5351

NPI assigned

Jan 27, 2009

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence David Eisenhauer, MDNPI 1083773246

Title

President/Owner

Phone

(760) 753-8413

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence David Eisenhauer, MD

  • Specialist
  • Encinitas, CA
  • NPI 1083773246
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1467690552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "SUITE LL4",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245138",
            "telephone_number": "760-753-8413",
            "fax_number": "760-753-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR",
            "address_2": "SUITE LL4",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245138",
            "telephone_number": "760-753-8413",
            "fax_number": "760-753-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE D EISENHAUER MD INC LAWRENCE D EISENHAUER M D OFFICER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "EISENHAUER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-753-8413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G36375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1083773246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard J. Lavacot, M.D.
• Jaleah Law, PH.D.
• Mary Jo Lawler
• James Robert Lawson, D.D.S.
• Christopher Hugh Layton, DDS
• Keina Lazare, MA LMFT
• Lowell N. Lazarus, DC
• Le Greenfield Dental Group Inc

• Specialist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.