Provider Demographics
NPI:1427790849
Name:NUNES, LAWRENCE JARDIN (PHARMD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:JARDIN
Last Name:NUNES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7238 HYANNIS DR
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1322
Mailing Address - Country:US
Mailing Address - Phone:818-857-8535
Mailing Address - Fax:
Practice Address - Street 1:5733 LAS VIRGENES RD STE A
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1267
Practice Address - Country:US
Practice Address - Phone:818-456-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA857221835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy