MEDICARE: DR. LAWRENCE ALEXANDER MD

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
1	207X00000X	Orthopaedic Surgery Physician	ME107717	FL

General Provider Information

NPI Number	:	1912128851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE ALEXANDER MD

Provider Business Mailing Address
First Line	:	1216 SE 1ST AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1802
Country	:	US
Telephone Number	:	954-255-8406
Fax Number	:	954-255-8407

Provider Business Practice Location Address
First Line	:	1216 SE 1ST AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-1802
Country	:	US
Telephone Number	:	954-255-8406
Fax Number	:	954-255-8407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	05/13/2015

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