Healthcare Provider Details

I. General information

NPI: 1548225998
Provider Name (Legal Business Name): LAWRENCE WALTER SCHMITZER JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2426 BRISTOL RD NESHAMINY VALLEY COMMONS
BENSALEM PA
19020
US

IV. Provider business mailing address

2426 BRISTOL RD NESHAMINY VALLEY COMMONS
BENSALEM PA
19020
US

V. Phone/Fax

Practice location:
  • Phone: 215-757-1533
  • Fax: 215-752-2402
Mailing address:
  • Phone: 215-757-1533
  • Fax: 215-752-2402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS002667L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: