Individual
LAWRENCE MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3231
(610) 527-1165
(610) 527-6611
Mailing address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3231
(610) 527-1165
(610) 527-6611
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD047626L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016237730007
—
PA
05
—
0016237730012
—
PA
Enumeration date
06/17/2005
Last updated
04/05/2017
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