Individual
LAWRENCE JEFFREY RISSMAN
Active
Individual
LAWRENCE JEFFREY RISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
21307
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107151
—
IA
Enumeration date
09/14/2005
Last updated
12/14/2010
Update your record
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