Healthcare Provider Details

I. General information

NPI: 1821281684
Provider Name (Legal Business Name): LAWRENCE M. COHEN, DPM,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 PORTAGE ST NW SUITE A
NORTH CANTON OH
44720-2290
US

IV. Provider business mailing address

1515 PORTAGE ST NW SUITE A
NORTH CANTON OH
44720-2290
US

V. Phone/Fax

Practice location:
  • Phone: 330-494-4949
  • Fax: 330-494-4945
Mailing address:
  • Phone: 330-494-4949
  • Fax: 330-494-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE MICHAEL COHEN
Title or Position: DOCTOR
Credential: DPM
Phone: 330-494-4949