Grant Dudley Lawless, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Thousand Oaks, CA

NPI

1871854695

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

MD-039917-L (PA)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-06-07

Last updated

2012-06-07