Individual
DR. LAWRENCE C. KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2506
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
MD-052731-L
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA10453200
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD-052731-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001601687
—
PA
05
—
7665202
—
NJ
Enumeration date
08/03/2006
Last updated
11/29/2023
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