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NPI Code Detail

MEDICARE: DR. KEITH ANTHONY LAWES DO

MEDICARE: DR. KEITH ANTHONY LAWES DO
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
1207Q00000XFamily Medicine Physician184889NY

Other Identifiers

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

General Provider Information

NPI Number : 1790882009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH ANTHONY LAWES DO
Provider Business Mailing Address
First Line : 940 BURKE AVENUE
Second Line :
City : BRONX
State : NY
Zip : 10469-3815
Country : US
Telephone Number : 718-960-9000
Fax Number : 718-960-3806
Provider Business Practice Location Address
First Line : 470 E FORDHAM ROAD
Second Line :
City : BRONX
State : NY
Zip : 10458-5108
Country : US
Telephone Number : 718-960-9000
Fax Number : 718-960-3805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KEITH ANTHONY LAWES DO” Practice Location

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