Individual
LAWRENCE EVAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-7200
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA06571000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7346301
—
NJ
Enumeration date
10/12/2006
Last updated
11/23/2016
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