Lawrence Domaracki

NPI 1407882335 · on the registry since 2006

Practice

Address: 3311 E Willow Street
Long Beach, CA 90806
Phone: (562) 424-4976
Fax: (562) 424-5960
Organisation at this address: Agency Rehab, Inc.
Willow Medical Group
Willow Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California