Individual
LAWRENCE TENKMAN
Active
Individual
LAWRENCE TENKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45644
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075981
—
OH
05
—
201025590
—
IN
01
—
331420001
MEDICARE
IN
05
—
7100224410
—
KY
01
—
P01097674
MEDICARE RR
—
Enumeration date
10/17/2007
Last updated
07/14/2020
Update your record
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