Individual
DR. DAVID MITCHEL LAURANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2600 NETHERLAND AVE, 105, BRONX, NY 10463-4801
(718) 549-9100
(718) 549-9101
Mailing address
2600 NETHERLAND AVE, 105, BRONX, NY 10463-4801
(718) 549-9100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO2899
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OO410375
—
NY
Enumeration date
04/03/2007
Last updated
07/08/2007
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