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NPI Code Detail

MEDICARE: DR. LAWRENCE LEIBOWITZ DDS

MEDICARE:  DR. LAWRENCE  LEIBOWITZ  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry06098VA

General Provider Information

NPI Number : 1497730667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE LEIBOWITZ DDS
Provider Business Mailing Address
First Line : 1385 FORDHAM DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5345
Country : US
Telephone Number : 757-424-3555
Fax Number :
Provider Business Practice Location Address
First Line : 1385 FORDHAM DR
Second Line : SUITE 106
City : VIRGINIA BEACH
State : VA
Zip : 23464-5345
Country : US
Telephone Number : 757-424-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LAWRENCE LEIBOWITZ DDS” Practice Location

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