Individual
DR. LAWRENCE M. JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4419 CRENSHAW RD, PASADENA, TX 77504-3628
(281) 991-5944
(281) 991-6849
Mailing address
4419 CRENSHAW RD, PASADENA, TX 77504-3628
(281) 991-5944
(281) 991-6849
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D2481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00308K
GROUP MEDICARE ID
TX
05
—
123552503
—
TX
01
—
80342101
GROUP MEDICAID ID
TX
Enumeration date
06/23/2005
Last updated
02/03/2011
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