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NPI Code Detail

MEDICARE: DR. LAWRENCE DAVID RICHMAN D.P.M.

MEDICARE: DR. LAWRENCE DAVID RICHMAN 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
1213E00000XPodiatristPO1095FL

General Provider Information

NPI Number : 1659370120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE DAVID RICHMAN D.P.M.
Provider Business Mailing Address
First Line : 7167 LAKE WORTH RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2906
Country : US
Telephone Number : 561-965-3300
Fax Number : 561-965-3300
Provider Business Practice Location Address
First Line : 7167 LAKE WORTH RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2906
Country : US
Telephone Number : 561-965-3300
Fax Number : 561-965-3300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 11/09/2010

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