Provider Demographics
NPI:1487743787
Name:MAY, LAWRENCE A (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:A
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18375 VENTURA BLVD
Mailing Address - Street 2:SUITE 626
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4218
Mailing Address - Country:US
Mailing Address - Phone:818-908-8048
Mailing Address - Fax:818-908-8072
Practice Address - Street 1:5525 ETIWANDA AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3647
Practice Address - Country:US
Practice Address - Phone:818-344-0200
Practice Address - Fax:818-344-0990
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2010-05-25
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Provider Licenses
StateLicense IDTaxonomies
CAG36103207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG36103CMedicare PIN
CAA46575Medicare UPIN