Individual
LAWRENCE FORUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 ISLIP AVE, SUITE 12, ISLIP, NY 11751-3222
(631) 581-5100
(631) 581-7512
Mailing address
150 ISLIP AVE, ISLIP, NY 11751-3222
(631) 491-6248
(631) 581-7512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00887274
—
NY
Enumeration date
02/08/2006
Last updated
02/14/2012
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