institution
Larry J Marshall Md A Professional Corporation
General Practice Physician in Lakeside, California
NPI 1689884942

Larry J Marshall Md A Professional Corporation is a General Practice Physician based in Lakeside, CA. Larry J Marshall Md A Professional Corporation practices in Lakeside, CA. The NPI Number for Larry J Marshall Md A Professional Corporation is 1689884942 and holds a License No. A52344 (California).

The current practice location address for Larry J Marshall Md A Professional Corporation is 12517 Lakeshore Dr, Lakeside, CA and can be reached out via phone at 619-443-3843 and via fax at 619-390-1810.

Location: 12517 Lakeshore Dr, Lakeside, CA, 92040-3103
institution
Provider Profile Details
NPI Number
1689884942
Provider Name
Larry J Marshall Md A Professional Corporation
Credential
Provider Entity Type
Organization
Address
12517 Lakeshore Dr, Lakeside, CA, 92040-3103
Phone Number
619-443-3843
Fax Number
619-390-1810
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A523440 01 CA BLUE CROSS BLUE SHIELD
GR0081780 05 CA
institution
Provider Business Practice Location Address Details
Address
12517 Lakeshore Dr
City
State
Zip
92040-3103
Phone Number
619-443-3843
Fax Number
619-390-1810
person
Provider Business Mailing Address Details
Address
12517 Lakeshore Dr
City
State
Zip
92040-3103
Phone Number
619-443-3843
Fax Number
619-390-1810
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A52344 (California)
Definition
Definition to come...
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