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Organization

LAWRENCE KORN, MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOROTHY LICUL RMC (BILLING MANAGER)
(516) 482-4343
Entity
Organization

Contact information

Practice address
900 NORTHERN BLVD, SUITE 245, GREAT NECK, NY 11021-5337
(516) 482-4343
(516) 482-0112
Mailing address
900 NORTHERN BLVD, SUITE 245, GREAT NECK, NY 11021-5337
(516) 482-4343
(516) 482-0112

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
187213
NY

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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