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Organization

LAWRENCE LITTELL DO, PHD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE M LITTELL (DO)
(315) 786-0464
Entity
Organization

Contact information

Practice address
18564 US ROUTE 11, SUITE 2, WATERTOWN, NY 13601-5900
(315) 786-0464
(315) 782-2577
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 786-0464
(315) 782-2577

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
195517
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
195517
LICENSE NUMBER
NY
Enumeration date
09/02/2015
Last updated
12/15/2015
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