Provider First Line Business Practice Location Address:
LAWRENCE D. SPORTY, M.D. 2021 EAST FOURTH STREET
Provider Second Line Business Practice Location Address:
SUITE 118
Provider Business Practice Location Address City Name:
SANTA ANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-285-0870
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006