Individual
DR. LAWRENCE STEVEN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 ROSWELL RD, STE 225, MARIETTA, GA 30062-8816
(770) 971-1533
(770) 971-4846
Mailing address
3901 ROSWELL RD, STE 225, MARIETTA, GA 30062-8816
(770) 971-1533
(770) 971-4846
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
044863
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
044863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0308854
CIGNA
GA
01
—
21159705622
BEECHSTREET
GA
01
—
40013588
RAILROAD MEDICARE
GA
01
—
52637226
BCBS OF GEORGIA
GA
Enumeration date
10/18/2005
Last updated
10/07/2014
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