Provider Demographics
NPI:1124146808
Name:WILLIAM, LAWRENCE ARTHUR
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ARTHUR
Last Name:WILLIAM
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:LAWRENCE
Other - Middle Name:A
Other - Last Name:WILLIAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11557 HILLPARK LN
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6528
Mailing Address - Country:US
Mailing Address - Phone:650-948-3632
Mailing Address - Fax:
Practice Address - Street 1:1165 TRITON DR
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1213
Practice Address - Country:US
Practice Address - Phone:650-358-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17910207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology