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Individual

DR. LAURENCE SHANDLER

Active
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Individual

DR. LAURENCE SHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72227
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25754
NM
01
72227
NM BOARD OF MEDICINE
NM
01
CS00007212
NM BOARD OF PHARMACY
NM
Enumeration date
10/04/2006
Last updated
11/07/2019
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