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

Lawrence Willis Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225588205

Lawrence Willis Jr. is a Student in an Organized Health Care Education/Training Program in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (510) 437-4965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1225588205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 13, 2016
Last updated in NPPESApril 10, 2018

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