Healthcare Provider Details

I. General information

NPI: 1649329939
Provider Name (Legal Business Name): LAWRENCE MEYERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 SOUTH AVE E
WESTFIELD NJ
07090-1459
US

IV. Provider business mailing address

324 SOUTH AVE E
WESTFIELD NJ
07090-1459
US

V. Phone/Fax

Practice location:
  • Phone: 908-232-2727
  • Fax: 908-232-5893
Mailing address:
  • Phone: 908-232-2727
  • Fax: 908-232-5893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE S. MEYERS
Title or Position: OWNER
Credential: M.D.
Phone: 908-232-2727