Provider Demographics
NPI:1730375932
Name:LAWRENCE J KANTROWITZ MD LLC
Entity type:Organization
Organization Name:LAWRENCE J KANTROWITZ MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANTROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-473-0500
Mailing Address - Street 1:1861 PLACIDA RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-4961
Mailing Address - Country:US
Mailing Address - Phone:941-473-0500
Mailing Address - Fax:941-473-0588
Practice Address - Street 1:1861 PLACIDA RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-4961
Practice Address - Country:US
Practice Address - Phone:941-473-0500
Practice Address - Fax:941-473-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty