Individual
DR. LAWRENCE E. WAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 PADDOCK ST, STE. 103, WATERTOWN, NY 13601-3948
(315) 782-3101
Mailing address
104 PADDOCK ST, STE. 103, WATERTOWN, NY 13601-3948
(315) 782-3101
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01137613
—
NY
Enumeration date
10/24/2005
Last updated
07/08/2007
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