Individual
LAWRENCE GETTLEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
SCHOOL OF DENTISTRY, FACULTY PRACTICE PLAN, 501 S. PRESTON ST, UNIVERSITY OF LOUISVILLE, LOUISVILLE, KY 40292-0001
(502) 852-5401
Mailing address
1461 S 4TH ST, LOUISVILLE, KY 40208-2118
(502) 634-1461
(502) 634-1461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6424
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60064243
—
KY
Enumeration date
05/27/2005
Last updated
07/08/2007
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