Provider Demographics
NPI:1003865726
Name:GELBER, LAWRENCE ELLIOT (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ELLIOT
Last Name:GELBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9920 INDEPENDENCE PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1487
Mailing Address - Country:US
Mailing Address - Phone:804-285-7420
Mailing Address - Fax:804-285-7454
Practice Address - Street 1:9920 INDEPENDENCE PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1487
Practice Address - Country:US
Practice Address - Phone:804-285-7420
Practice Address - Fax:804-285-7454
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044350207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6033547Medicaid
VAF05862Medicare UPIN