Individual
LAWRENCE D KASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2101 SNYDER AVE, PHILADELPHIA, PA 19145-2719
(215) 336-4151
(215) 336-5111
Mailing address
2101 SNYDER AVE, PHILADELPHIA, PA 19145-2719
(215) 336-4151
(215) 336-5111
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003381L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279740-0001
—
PA
Enumeration date
07/13/2005
Last updated
03/17/2018
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