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Contact Information

GREGORY T LAUDERDALE
12322 CLEARGLEN AVE
WHITTIER, CA90604
 Phone: 562-242-1077
 Fax: 562-947-4053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for GREGORY T LAUDERDALE · (Male)

NPI # 1467725721
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2012
Last updated 02/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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