Individual
DR. LAWRENCE TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104
(215) 590-3440
(215) 590-3986
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD018322E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00O720960
—
PA
Enumeration date
10/13/2006
Last updated
04/12/2013
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