Provider Demographics
NPI:1073781977
Name:HOWARD, LAWRENCE GRATTON (LAC)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:GRATTON
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 LEEWOOD LOOP
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-3449
Mailing Address - Country:US
Mailing Address - Phone:646-498-3333
Mailing Address - Fax:
Practice Address - Street 1:1766 SUNRISE HIGHWAY
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-666-4600
Practice Address - Fax:631-666-4605
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001088171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist