Provider Demographics
NPI:1972538056
Name:LAWRENCE, PAUL CHRISTIAN (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:CHRISTIAN
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 JEFFERSON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1743
Mailing Address - Country:US
Mailing Address - Phone:760-729-8581
Mailing Address - Fax:760-729-8580
Practice Address - Street 1:2777 JEFFERSON ST STE 101
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1743
Practice Address - Country:US
Practice Address - Phone:760-729-8581
Practice Address - Fax:760-729-8580
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA5091237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1043555956OtherCORP NPI
CA46-1101589OtherTAX ID