Healthcare Provider Details

I. General information

NPI: 1972825230
Provider Name (Legal Business Name): LAWRENCE A. LEFKOWITZ, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COLONY ST
NORWALK CT
06851-5801
US

IV. Provider business mailing address

1 COLONY ST
NORWALK CT
06851-5801
US

V. Phone/Fax

Practice location:
  • Phone: 203-853-1754
  • Fax: 203-852-6758
Mailing address:
  • Phone: 203-853-1754
  • Fax: 203-852-6758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number017482
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007365
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number005359
License Number StateCT

VIII. Authorized Official

Name: LAWRENCE A. LEFKOWITZ
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 203-853-1754