Provider Demographics
NPI:1992774228
Name:POHL, LAWRENCE STUART (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:STUART
Last Name:POHL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5333 MISSION CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1302
Mailing Address - Country:US
Mailing Address - Phone:619-295-3355
Mailing Address - Fax:619-542-1317
Practice Address - Street 1:5333 MISSION CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1302
Practice Address - Country:US
Practice Address - Phone:619-295-3355
Practice Address - Fax:619-542-1317
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2008-10-31
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Provider Licenses
StateLicense IDTaxonomies
CAG43808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG43808Medicare UPIN