Individual
DR. KEITH ANTHONY LAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
470 E FORDHAM ROAD, BRONX, NY 10458-5108
(718) 960-9000
(718) 960-3805
Mailing address
940 BURKE AVENUE, BRONX, NY 10469-3815
(718) 960-9000
(718) 960-3806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
184889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01611605
—
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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