Individual
LAWRENCE E STAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 830-7109
(718) 780-7252
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 830-7109
(718) 780-7252
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
149381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00980709
—
NY
Enumeration date
05/27/2006
Last updated
10/11/2007
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