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General NPI Number Information
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NPI Number | 1588033690
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Entity Type | Organization
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Legal Business Name | LAWRENCE S. COHEN, O.D., LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 620 GEORGE WASHINGTON HWY
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City | LINCOLN
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State | RI
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Zip | 02865-4293
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Country | US
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Telephone | 401-642-0080
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Fax | 508-923-9894
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Provider Business Mailing Address
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Address Line | 54 MAIN ST STE 10
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City | LAKEVILLE
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State | MA
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Zip | 02347-3622
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Country | US
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Telephone | 800-853-8110
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Fax | 508-923-9894
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. LAWRENCE S COHEN
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Credential | OD
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Telephone | 508-699-5173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3586
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License Number State | MA
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