Individual
LAWRENCE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11000 ROOSEVELT BLVD, 360, PHILADELPHIA, PA 19116-3961
(215) 677-1475
(215) 677-3082
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD015467E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007280730002
—
PA
01
—
053061JTQ
TEMPLE PHYSICIANS INC MEDICARE
PA
Enumeration date
08/01/2006
Last updated
08/03/2015
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