MEDICARE: DR. LAWRENCE S CARLTON D.P.M.

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
1	213E00000X	Podiatrist	N003542	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00000007139	OTHER	NY	GHI MEDICARE CHOICE PPO
5	480003543	OTHER	NY	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36731P	OTHER	NY	HIP
2	LC0P383010	OTHER	NY	EMPIRE BLUE CROSS/ SHIELD
4	P787695	OTHER	NY	OXFORD HEALTH PLAN
6	2C8013	OTHER	NY	HEALTHNET
7	N003542	OTHER	NY	LICENSE
8	2701510	OTHER	NY	UNITED HEALTHCARE PASSPOR
9	N003542-N01	OTHER	NY	HIP
10	003542-NY	OTHER	NY	1199 NATIONAL BENEFIT FUN
11	0606686	OTHER	NY	AETNA US HEALTHCARE
12	N003542-A21	OTHER	NY	HEALTHFIRST
13	0060110	OTHER	NY	GHI
14	137326	OTHER	NY	UNITED HEALTHCARE
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215930771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE S CARLTON D.P.M.

Provider Business Mailing Address
First Line	:	2075 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3523
Country	:	US
Telephone Number	:	718-338-8715
Fax Number	:	718-951-8606

Provider Business Practice Location Address
First Line	:	2075 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3523
Country	:	US
Telephone Number	:	718-338-8715
Fax Number	:	718-951-8606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	09/16/2010

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