Organization
LAWRENCE L. NORTHORN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE L NORTHORN D.O. (DO)
(631) 581-0090
Entity
Organization
Contact information
Practice address
126 E MAIN ST, SUITE 1, EAST ISLIP, NY 11730-2600
(631) 581-0090
(631) 581-2879
Mailing address
126 E MAIN ST, SUITE 1, EAST ISLIP, NY 11730-2600
(631) 581-0090
(631) 581-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233269
NY
Other
Enumeration date
02/17/2009
Last updated
05/07/2009
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