Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lawrence David Willison IV, MD, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104070010

Dr. Lawrence David Willison IV, MD, PHD is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A111776 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104070010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedNovember 5, 2008
Last updated in NPPESMarch 8, 2011

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