Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAWRENCE BRENT BRILLIANT, M.D.
Active Sole ProprietorDR. LAWRENCE BRENT BRILLIANT, M.D. is a Public Health & General Preventive Medicine healthcare provider located in MILL VALLEY, California. NPI 1619412632 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · MILL VALLEY, CA
Registration Details
- NPI Number
- 1619412632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2016 (9.6661969473391 yrs)
- Last Updated
- Dec 29, 2016
- License
-
C32839 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 RALSTON AVEMILL VALLEY, CA, 949411024Browse CA providers · Browse ZIP 94941
- Phone
- 6507668529
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.