Provider Demographics
NPI:1861517096
Name:GUZZARDI, LAWRENCE JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:JOSEPH
Last Name:GUZZARDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INTERNATIONAL PLZ
Mailing Address - Street 2:SUITE 550
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19113-1510
Mailing Address - Country:US
Mailing Address - Phone:717-854-7785
Mailing Address - Fax:
Practice Address - Street 1:1 INTERNATIONAL PLZ
Practice Address - Street 2:SUITE 550
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19113-1510
Practice Address - Country:US
Practice Address - Phone:717-854-7785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024587E207PT0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology