Individual
DR. LAWRENCE RICHARD SHAMPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 WERNIK PL STE B, METUCHEN, NJ 08840-2467
(732) 548-1600
Mailing address
480 WAKEFIELD DR, METUCHEN, NJ 08840-1611
(732) 548-2097
(732) 548-4591
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MA054652
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MA054652
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942405
—
NJ
05
—
4144007
—
NJ
Enumeration date
10/04/2006
Last updated
02/14/2014
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