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NPI Code Detail

MEDICARE: DR. LAWRENCE ALAN SPECTOR D.M.D.

MEDICARE:  DR. LAWRENCE ALAN SPECTOR  D.M.D.
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
1122300000XDentistDN12409FL

General Provider Information

NPI Number : 1639224926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE ALAN SPECTOR D.M.D.
Provider Business Mailing Address
First Line : 9132 WILES RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-1993
Country : US
Telephone Number : 954-341-9900
Fax Number : 954-341-9264
Provider Business Practice Location Address
First Line : 9132 WILES RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-1993
Country : US
Telephone Number : 954-341-9900
Fax Number : 954-341-9264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ DR. LAWRENCE ALAN SPECTOR D.M.D.” Practice Location

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