Provider Demographics
NPI:1538399852
Name:LAWRENCE J NEWMANN DPM PODIATRIST INC
Entity type:Organization
Organization Name:LAWRENCE J NEWMANN DPM PODIATRIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEWMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-302-6983
Mailing Address - Street 1:211 S MAYA PALM DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7926
Mailing Address - Country:US
Mailing Address - Phone:561-302-6983
Mailing Address - Fax:561-620-8535
Practice Address - Street 1:211 S MAYA PALM DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7926
Practice Address - Country:US
Practice Address - Phone:561-302-6983
Practice Address - Fax:561-620-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO439213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCK558AMedicare PIN