# LAWRENCE R BIRZON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780690990
- **Gender:** Man
- **Credential:** DC, PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X003059-1 | NY | Yes |
| 225100000X | Physical Therapist | 009221-1 | NY | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 04/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00011191301 | UNIVERA | NY |
| 01 | — | 00020137801 | UNIVERA | NY |
| 01 | — | 000608461004 | BC BS COMMUNITY BLUE | NY |
| 01 | — | 00208461002 | BC BS COMMUNITY BLUE | NY |
| 05 | — | 00978432 | — | NY |
| 01 | — | 1030314 | AETNA | NY |
| 01 | — | 801640 | EMPIRE PLAN | NY |
| 01 | — | 8803885 | INDEPENDENT HEALTH | NY |