Individual
DR. LAWRENCE L NORTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
126 E MAIN ST STE 1, EAST ISLIP, NY 11730-2600
(631) 581-0090
(631) 581-2879
Mailing address
126 E MAIN ST STE 1, EAST ISLIP, NY 11730-2600
(631) 581-0090
(631) 581-0090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233269
NY
Other
Enumeration date
05/03/2006
Last updated
10/14/2011
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