Healthcare Provider Details

I. General information

NPI: 1467699918
Provider Name (Legal Business Name): LAWRENCE ANESTHESIA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2009
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENERAL STREET
LAWRENCE MA
01842-0389
US

IV. Provider business mailing address

7111 FAIRWAY DRIVE SUITE 450
PALM BEACH GARDENS FL
33418-4200
US

V. Phone/Fax

Practice location:
  • Phone: 948-683-4000
  • Fax:
Mailing address:
  • Phone: 561-623-2000
  • Fax: 201-804-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY WEISS
Title or Position: PRESIDENT
Credential: DO
Phone: 561-623-2000