Individual
DR. J RICHARD LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
232 BELLE MEAD RD, SUITE 7, EAST SETAUKET, NY 11733
(631) 689-2650
(631) 689-2651
Mailing address
232 BELLE MEAD RD, SUITE 7, EAST SETAUKET, NY 11733
(631) 689-2650
(631) 689-2651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01200146
—
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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