Active NPI
Larry Lawson
- Licensed Practical Nurse
- Los Angeles, CA
National Provider Identifier
1649737586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 262954
- Practice address
- 5310 Fountain Ave
Los Angeles, CA 90029-1005 - Phone
- (323) 461-9961
- NPI assigned
- Feb 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 262954 | CA | Primary |
Addresses
Primary practice location
5310 Fountain Ave
Los Angeles, CA 90029-1005
Mailing address
3000 Goffs Falls Rd
Manchester, NH 03103-6109
Phone (800) 995-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262954 | CA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1649737586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 GOFFS FALLS RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031036109",
"telephone_number": "800-995-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291005",
"telephone_number": "323-461-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "LARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "262954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.