Individual
DR. LAWRENCE I WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Mailing address
1500 CONCORD TERRACE, SUNRISE, FL 33323-2823
(800) 243-3839
(954) 858-0404
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
47551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00842311A
—
GA
05
—
00842311B
—
GA
01
—
4585000
AETNA PROV NUMBER
GA
01
—
702250
BCBS PIN NUMBER
GA
Enumeration date
12/21/2006
Last updated
07/01/2014
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