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General NPI Number Information
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NPI Number | 1730184045
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Entity Type | Individual
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Provider Name | LAWRENCE T. REESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD STE 403
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City | AVENTURA
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State | FL
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Zip | 33180-1252
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Country | US
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Telephone | 305-933-9445
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Fax | 305-933-9446
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Provider Business Mailing Address
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Address Line | 10274 S.W. 26 STREET
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City | DAVIE
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-243-1670
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Fax | 305-933-9446
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME29298
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License Number State | FL
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