Individual
LAWRENCE A COOPERSTEIN
Active
Individual
LAWRENCE A COOPERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD023989E
PA
2085N0904X
Nuclear Radiology Physician
MD023989E
PA
2085P0229X
Pediatric Radiology Physician
MD023989E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD023989E
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD023989E
PA
2085U0001X
Diagnostic Ultrasound Physician
MD023989E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009437220017
—
PA
01
—
100114
HIGHMARK
PA
01
—
P00145244
RR MEDICARE
—
Enumeration date
05/11/2006
Last updated
10/25/2007
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