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Physician Compare National (NPI:1629088448)

HEALTHCARE PROVIDER: LAWRENCE KENNETH ABEND DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1629088448
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4981632759
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060511000269
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ABEND
Individual professional last name
Provider First Name LAWRENCE
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DPM
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 827 DEEP VALLEY DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 204
Group Practice or individual's line 2 address
City ROLLING HILLS ESTATES
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 902743654
Group Practice or individual's zip code (9 digits when available)
Phone Number 3103776926
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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