Individual
LYNN MARIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7109
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
227753
NY
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
49256
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
227753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027536201
UNIVERA
—
01
—
000528533001
BC/BS
—
05
—
02747419
—
NY
01
—
060707000000
FIDELIS
—
01
—
1213247
IHA
—
Enumeration date
05/23/2006
Last updated
08/01/2023
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