Individual
DR. LAWRENCE LEE HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1410 E WOODROW WILSON AVE, JACKSON, MS 39216-5114
(601) 984-6525
(601) 815-1223
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
18299
MS
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
301311
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252229
—
MS
01
—
512I200001
UP MEDICARE PTAN
MS
Enumeration date
06/04/2006
Last updated
04/19/2016
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