Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LAWRENCE KEITH HAIRSTON JR., AE-C
Active Sole Proprietor2279E1000X · SACRAMENTO, CA
Registration Details
- NPI Number
- 1669275665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2025 (1.0719373231792 yrs)
- Last Updated
- Mar 27, 2025
- License
-
42652 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400 COTTAGE WAYSUITE G2 #28906SACRAMENTO, CA, 958251474Browse CA providers · Browse ZIP 95825
- Phone
- 2094987385
- Primary Specialty
-
2279E1000X
2279E1000X
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.