Individual
MR. LAWRENCE P DEZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 MILITARY TRL, JUPITER, FL 33458-7801
(561) 741-1705
Mailing address
2055 MILITARY TRL STE 100, JUPITER, FL 33458-7830
(561) 741-1705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MQ50678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04567
BCBS
FL
05
—
047364200
—
FL
Enumeration date
04/28/2006
Last updated
01/04/2022
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