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Mr. Jerry Alan Lawrence, REP
Durable Medical Equipment & Medical Supplies in Huntington Beach, California
NPI 1285900522

Jerry Alan Lawrence is a Durable Medical Equipment & Medical Supplies based in Huntington Beach, CA. Jerry Alan Lawrence practices in Huntington Beach, CA and has the professional credentials of REP. The NPI Number for Jerry Alan Lawrence is 1285900522 and holds a License No. (California).

The current practice location address for Jerry Alan Lawrence is 10061 Forrestal Dr, Huntington Beach, CA and can be reached out via phone at 714-403-1263 and via fax at 714-968-0747.

Location: 10061 Forrestal Dr, Huntington Beach, CA, 92646-3717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285900522
Provider Name
Jerry Alan Lawrence
Credential
REP
Provider Entity Type
Individual
Gender
Male
Address
10061 Forrestal Dr, Huntington Beach, CA, 92646-3717
Phone Number
714-403-1263
Fax Number
714-968-0747
Provider Enumeration Date
03/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10061 Forrestal Dr
City
Huntington Beach
State
California
Zip
92646-3717
Phone Number
714-403-1263
Fax Number
714-968-0747
person
Provider Business Mailing Address Details
Address
10061 Forrestal Dr
City
Huntington Beach
State
California
Zip
92646-3717
Phone Number
714-403-1263
Fax Number
714-968-0747
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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