Individual
DR. LAURENCE ANTHONY KIRWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 EAST AVE, SUITE 2A, NORWALK, CT 06851-5721
(203) 838-8844
(203) 774-1177
Mailing address
148 EAST AVE, SUITE 2A, NORWALK, CT 06851-5721
(203) 838-8844
(203) 774-1177
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
027865
CT
208200000X
Plastic Surgery Physician
142977-1
NY
208200000X
Plastic Surgery Physician
A38639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204435524
TAX ID
CT
Enumeration date
02/13/2007
Last updated
08/24/2016
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