Provider Demographics
NPI:1417007469
Name:RECHT, LAWRENCE DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DAVID
Last Name:RECHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:875 BLAKE WILBUR DR.
Mailing Address - Street 2:RM CC2221
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5826
Mailing Address - Country:US
Mailing Address - Phone:650-725-8630
Mailing Address - Fax:650-498-4686
Practice Address - Street 1:875 BLAKE WILBUR DR
Practice Address - Street 2:RM CC2221
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2205
Practice Address - Country:US
Practice Address - Phone:650-725-8630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2011-10-25
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Provider Licenses
StateLicense IDTaxonomies
CAG870202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA67611Medicare UPIN