Individual
DR. LAWRENCE DANIEL BROTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6732 CROOKED STICK DR, FORT WORTH, TX 76132-4536
(817) 423-9534
Mailing address
6732 CROOKED STICK DR, FORT WORTH, TX 76132-4536
(817) 423-9534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30587
MA
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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