person
Lawrence M Goldyn, MD
Adult Medicine Physician in Fort Bragg, California
NPI 1780605097

Lawrence M Goldyn is an Adult Medicine Physician based in Fort Bragg, CA and is specialized in Adult Medicine. Lawrence M Goldyn practices in Fort Bragg, CA and has the professional credentials of MD. The NPI Number for Lawrence M Goldyn is 1780605097 and holds a License No. G67575 (California).

The current practice location address for Lawrence M Goldyn is 205 South St, Fort Bragg, CA and can be reached out via phone at 707-964-1251 and via fax at 707-961-2722.

Location: 205 South St, Fort Bragg, CA, 95437-5540
person
Provider Profile Details
NPI Number
1780605097
Provider Name
Lawrence M Goldyn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
205 South St, Fort Bragg, CA, 95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FCH03967F 05 CA
institution
Provider Business Practice Location Address Details
Address
205 South St
City
State
Zip
95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
person
Provider Business Mailing Address Details
Address
205 South St
City
State
Zip
95437-5540
Phone Number
707-964-1251
Fax Number
707-961-2722
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
G67575 (California)
Definition
Definition to come.
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