Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawrence Hazen

Individual provider Physical Therapist · NPI 1316362080

Lawrence Hazen is a Physical Therapist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

1422 Monterey St Ste C-102
San Luis Obispo, CA 93401-2944
Phone: (805) 543-5100
Fax: (805) 543-5106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT13027 (CA)

Record details

NPI number1316362080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014

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