Individual
DR. LAWRENCE E GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 HAGEN DR, SUITE 100, ROCHESTER, NY 14625-2658
(585) 338-2700
(585) 242-9663
Mailing address
30 HAGEN DR, SUITE 100, ROCHESTER, NY 14625-2658
(585) 338-2700
(585) 242-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
147475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001111782
UNITED HEALTHCARE
—
01
—
000525146003
HEALTH NOW LINDEN
—
01
—
005251461
HEALTH NOW PARNALL
—
05
—
01377760
—
NY
01
—
060047370
RAILROAD MEDICARE
—
01
—
301128
WELLCARE
—
01
—
4278939
AETNA
—
01
—
6890
BCBS
—
01
—
7701224
MVP
—
01
—
9607291
GHI
—
01
—
MDC186
PREFERRED CARE
—
01
—
P010147475
EXCELLUS
—
01
—
PO10147475
GRIPA
—
01
—
RC60147475
RCIPA
—
Enumeration date
03/01/2006
Last updated
04/15/2015
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