Provider Demographics
NPI:1245390384
Name:LIND, LAWRENCE (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:LIND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:LAWRENCE LIND, MD
Mailing Address - Street 2:10 MEDICAL PLAZA , SUITE 208
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542
Mailing Address - Country:US
Mailing Address - Phone:166-741-6475
Mailing Address - Fax:
Practice Address - Street 1:NSUH DEPT OF OB GYN UROGYNECOLOGY
Practice Address - Street 2:865 NORTHERN BOULEVARD
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-622-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2022-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY190097208800000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No208800000XAllopathic & Osteopathic PhysiciansUrology