Individual
DR. LAWRENCE MARK TESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1800 MERRICK RD, MERRICK, NY 11566-4530
(516) 377-7701
(516) 377-7705
Mailing address
1800 MERRICK RD, MERRICK, NY 11566-4530
(516) 377-7701
(516) 377-7705
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0002526
FL
213E00000X
Podiatrist
Primary
005175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01531604
—
NY
Enumeration date
11/17/2005
Last updated
10/22/2009
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