Provider Demographics
NPI:1861566671
Name:FUHRMAN, LAWRENCE JAMES (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:JAMES
Last Name:FUHRMAN
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 1:8 CEDAR ST
Mailing Address - Street 2:SUITE 58
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6362
Mailing Address - Country:US
Mailing Address - Phone:781-938-5954
Mailing Address - Fax:781-938-7152
Practice Address - Street 1:8 CEDAR ST
Practice Address - Street 2:SUITE 58
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6362
Practice Address - Country:US
Practice Address - Phone:781-938-5954
Practice Address - Fax:781-938-7152
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA405682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2054183Medicaid
MA2054183Medicaid