Lawrence H Wanetick MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G13201 Issued in CA

Legal business name

LAWRENCE H WANETICK MD INC

Practice address

1776 Ygnacio Valley Rd Ste 102
Walnut Creek, CA 94598-3100

Phone

(925) 280-0800

Fax

(925) 944-3338

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence H Wanetick, M.D.

Title

Doctor

Phone

(925) 280-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1659466373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983100",
            "telephone_number": "925-280-0800",
            "fax_number": "925-944-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983100",
            "telephone_number": "925-280-0800",
            "fax_number": "925-944-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE H WANETICK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "WANETICK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "925-280-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G13201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Glenn Laverne, MD
• Simone Renee Laviene
• Arthur K. Law, M.D.
• Ivianna Law
• Lawrence G Mock, O.D. (Broadway Eyeworks)
• Larch Laws
• Philip Jean Lawson II, MFTI
• Tylesha Lax
• Carol Jean Layne, M.S.
• Alyan Layug

• Specialist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.