Individual
LAWRENCE J WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 852-4989
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 852-4989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20466
KY
208000000X
Pediatrics Physician
Primary
20466
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100463670
—
IN
05
—
64204662
—
KY
Enumeration date
12/19/2005
Last updated
09/05/2014
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