MEDICARE: LAWRENCE DAVIS

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	3416L0300X	Land Ambulance	1946510	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700049475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE DAVIS

Provider Business Mailing Address
First Line	:	371 CENTRAL AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2842
Country	:	US
Telephone Number	:	973-481-6444
Fax Number	:	973-481-6461

Provider Business Practice Location Address
First Line	:	371 CENTRAL AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2842
Country	:	US
Telephone Number	:	973-481-6444
Fax Number	:	973-481-6461

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

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	07/03/2008

Similar Medicare Providers

1306799226 — MRS. ANNA KASM APN
Practice Location Address:

393 CENTRAL AVE
NEWARK, NJ
07103-2842

Practice Phone: 973-483-3444
Practice Fax:

1053426510 — MR. VITO ANGELO DITURI R.PH.
Practice Location Address:

393 CENTRAL AVE
NEWARK, NJ
07103-2842

Practice Phone: 973-757-1200
Practice Fax: 973-757-1201

1225252927 — RAPID RESPOND AMBULANCE AND INVALID COACH SERVICE INC.
Practice Location Address:

371 CENTRAL AVE
NEWARK, NJ
07103-2842

Practice Phone: 973-483-4113
Practice Fax:

1306057757 — TOWN TOTAL HEALTH NEWARK LLC
Practice Location Address:

393 CENTRAL AVE
NEWARK, NJ
07103-2842

Practice Phone: 973-757-1200
Practice Fax:

1639371446 — NORTH JERSEY COMMUNITY RESEARCH INITIATIVE
Practice Location Address:

393 CENTRAL AVE
NEWARK, NJ
07103-2842

Practice Phone: 973-483-3444
Practice Fax: 973-485-7080

1942463476 — INNER CITY TRANSIT CORP.
Practice Location Address:

371 CENTRAL AVE
NEWARK, NJ
07103-2842

Practice Phone: 973-481-6444
Practice Fax: 973-481-6461

Directions to “ LAWRENCE DAVIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.