MEDICARE: LAWRENCE P KIRSCHENBAUM 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
1	207L00000X	Anesthesiology Physician	28013	CT
2	208VP0014X	Interventional Pain Medicine Physician	28013	CT
3	207L00000X	Anesthesiology Physician	225216	MA
4	208VP0014X	Interventional Pain Medicine Physician	ME50386	FL

General Provider Information

NPI Number	:	1871554881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE P KIRSCHENBAUM M.D.

Provider Business Mailing Address
First Line	:	11020 RCA CENTER DR STE 2004
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4277
Country	:	US
Telephone Number	:	561-331-5050
Fax Number	:	561-331-3711

Provider Business Practice Location Address
First Line	:	11020 RCA CENTER DR STE 2004
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4277
Country	:	US
Telephone Number	:	561-331-5050
Fax Number	:	561-331-3711

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	11/13/2023

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