Organization
EAST AURORA FAMILY PRACTICE,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAWTON M.D. (PRESIDENT)
(716) 805-1072
Entity
Organization
Contact information
Practice address
112 OLEAN ST, SUITE 220, EAST AURORA, NY 14052-2540
(716) 805-1072
Mailing address
112 OLEAN ST, SUITE 220, EAST AURORA, NY 14052-2540
(716) 805-1072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333897
—
NY
01
—
4651030001
DME MEDICARE
—
01
—
CK7008
RAILROAD MEDICARE
—
Enumeration date
04/27/2006
Last updated
05/01/2008
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