Individual
LAWRENCE PAUL FRANKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1092 RT 112, PORT JEFFERSON STA, NY 11776
(631) 474-3937
(631) 474-3966
Mailing address
1092 RT 112, PORT JEFFERSON STA, NY 11776
(631) 474-3937
(631) 474-3966
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8108-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113014041
TAX ID
NY
Enumeration date
12/29/2006
Last updated
07/08/2007
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