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Individual

DR. LAWRENCE STEVEN WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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