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Individual

LAWRENCE D JAEGER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 CENTRAL PARK S, STE 107, NEW YORK, NY 10019
(212) 262-2500
(212) 246-0890
Mailing address
200 CENTRAL PARK S, STE 107, NEW YORK, NY 10019
(212) 262-2500
(212) 246-0890

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
186814
NY

Other

Enumeration date
06/27/2005
Last updated
12/10/2014
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