Basic Information
| Provider Information | |||||||||
| NPI: | 1124168760 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PIAZZA | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | DANA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2970 HILLTOP MALL RD STE 203 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 948061949 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102228000 | ||||||||
| FaxNumber: | 5102222690 | ||||||||
| Practice Location | |||||||||
| Address1: | 2970 HILLTOP MALL RD | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | RICHMOND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 948061947 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102228000 | ||||||||
| FaxNumber: | 5102222690 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2007 | ||||||||
| LastUpdateDate: | 11/22/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083X0100X | G59820 | CA | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine |
No ID Information.