Provider Demographics
NPI:1346214871
Name:SINCLAIR, LAWRENCE MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MICHAEL
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10167 NW 31ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-6152
Mailing Address - Country:US
Mailing Address - Phone:954-344-4333
Mailing Address - Fax:954-340-8795
Practice Address - Street 1:10167 NW 31ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-6152
Practice Address - Country:US
Practice Address - Phone:954-344-4333
Practice Address - Fax:954-340-8795
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2008-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL204162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL78463Medicare ID - Type Unspecified
FLD58499Medicare UPIN