MEDICARE: LAWRENCE R. FELDMAN, M.D., P.C.

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	207ND0900X	Dermatopathology Physician	D0032185	MD

General Provider Information

NPI Number	:	1346494549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE R. FELDMAN, M.D., P.C.

Provider Business Mailing Address
First Line	:	902 WASHINGTON RD STE E
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5832
Country	:	US
Telephone Number	:	410-876-0286
Fax Number	:	410-876-0634

Provider Business Practice Location Address
First Line	:	902 WASHINGTON RD STE E
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5832
Country	:	US
Telephone Number	:	410-876-0286
Fax Number	:	410-876-0634

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAWRENCE R FELDMAN
Credential	:	M.D.
Telephone Number	:	410-876-0286

Provider Enumeration Date	:	11/14/2008
Last Update Date	:	09/02/2009

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