Individual
LAWRENCE G RAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4925 MAIN ST, AMHERST, NY 14226-4000
(716) 839-3333
(716) 839-3338
Mailing address
908 NIAGARA FALLS BLVD, STE 208, N TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 213-0348
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01059811
IN
2085R0202X
Diagnostic Radiology Physician
Primary
134789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01086268
—
NY
05
—
02271878
—
NY
05
—
200503240
—
IN
01
—
5607927
IHA
NY
01
—
P00804125
RAILROAD MEDICARE
NY
Enumeration date
11/14/2005
Last updated
09/16/2013
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