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NPI Code Detail

MEDICARE: LAWRENCE JOEL SHAPIRO D.O.

MEDICARE:   LAWRENCE JOEL SHAPIRO  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204F00000XTransplant Surgery PhysicianOS5706FL

General Provider Information

NPI Number : 1063629046
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE JOEL SHAPIRO D.O.
Provider Business Mailing Address
First Line : 4981 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3850
Country : US
Telephone Number : 561-499-2111
Fax Number :
Provider Business Practice Location Address
First Line : 4981 W ATLANTIC AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3850
Country : US
Telephone Number : 561-499-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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Directions to “ LAWRENCE JOEL SHAPIRO D.O.” Practice Location

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