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NPI Code Detail

MEDICARE: DR. LAWRENCE LOUIS MAURO JR. D.M.D

MEDICARE:  DR. LAWRENCE LOUIS MAURO JR. 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
1122300000XDentistDS035809PA

General Provider Information

NPI Number : 1831117753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE LOUIS MAURO JR. D.M.D
Provider Business Mailing Address
First Line : 9401 MCKNIGHT RD
Second Line : SUITE 307
City : PITTSBURGH
State : PA
Zip : 15237-6000
Country : US
Telephone Number : 412-364-1477
Fax Number : 412-996-6429
Provider Business Practice Location Address
First Line : 9401 MCKNIGHT RD
Second Line : SUITE 307
City : PITTSBURGH
State : PA
Zip : 15237-6000
Country : US
Telephone Number : 412-364-1477
Fax Number : 412-996-6429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 11/25/2014

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Directions to “ DR. LAWRENCE LOUIS MAURO JR. D.M.D” Practice Location

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