Individual
DR. LAWRENCE D DAVANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
49 VERONICA AVE, SUITE 105, SOMERSET, NJ 08873-6802
(732) 246-3066
(732) 246-3067
Mailing address
49 VERONICA AVE, SUITE 105, SOMERSET, NJ 08873-6802
(732) 246-3066
(732) 246-3067
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB05407000
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB05407000
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MB05407000
NJ
Other
Enumeration date
06/29/2006
Last updated
01/15/2024
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