Provider Demographics
NPI:1285203000
Name:BATMAZIAN, LAURENCE JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:JOSEPH
Last Name:BATMAZIAN
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 1:200 TERRACE HILL STREET
Mailing Address - Street 2:C8 - HOSPITALIST OFFICE
Mailing Address - City:BRANTFORD
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N3R1G9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 TERRACE HILL STREET
Practice Address - Street 2:C8 - HOSPITALIST OFFICE
Practice Address - City:BRANTFORD
Practice Address - State:ONTARIO
Practice Address - Zip Code:N3R1G9
Practice Address - Country:CA
Practice Address - Phone:519-751-5544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305927207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine