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

Lawrence Wanetick, MDFACS

Individual provider Specialist · NPI 1255411104

Lawrence Wanetick, MDFACS is a Specialist in Walnut Creek, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1776 Ygnacio Valley Rd Ste 102
Walnut Creek, CA 94598-3190
Phone: (925) 280-0800
Fax: (925) 944-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G13201 (CA)

Record details

NPI number1255411104
Entity typeIndividual (Type 1)
GenderMale
Credentials MDFACS
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJune 16, 2010
Mailing address1776 Ygnacio Valley Rd, Suite 102, Walnut Creek, CA 94598-3190

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