person
Dr. Lawrence Dale Mcnutt, MD
Body Imaging Physician in Northridge, California
NPI 1609070846

Lawrence Dale Mcnutt is a Body Imaging Physician based in Huntington Beach, CA and is specialized in Body Imaging. Lawrence Dale Mcnutt practices in Northridge, CA and has the professional credentials of MD. The NPI Number for Lawrence Dale Mcnutt is 1609070846 and holds a License No. A83196 (California).

The current practice location address for Lawrence Dale Mcnutt is 18436 Roscoe Blvd, Northridge, CA and can be reached out via phone at 818-435-1800 and via fax at 818-435-1490.

Location: 18436 Roscoe Blvd, Northridge, CA, 92647-0610
person
Provider Profile Details
NPI Number
1609070846
Provider Name
Lawrence Dale Mcnutt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18436 Roscoe Blvd, Northridge, CA, 92647-0610
Phone Number
818-435-1800
Fax Number
818-435-1490
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A83196 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
18436 Roscoe Blvd
City
State
Zip
91325-4107
Phone Number
818-435-1800
Fax Number
818-435-1490
person
Provider Business Mailing Address Details
Address
18436 Roscoe Blvd
City
State
Zip
91325-4107
Phone Number
818-435-1800
Fax Number
818-435-1490
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
A83196 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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