Provider Demographics
NPI:1346257722
Name:FLAUM, LAWRENCE E (DMD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:FLAUM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 JORALEMON ST
Mailing Address - Street 2:C/O DC 37 DENTAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4326
Mailing Address - Country:US
Mailing Address - Phone:718-852-1400
Mailing Address - Fax:718-222-8975
Practice Address - Street 1:186 JORALEMON ST
Practice Address - Street 2:C/O DC 37 DENTAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4326
Practice Address - Country:US
Practice Address - Phone:718-852-1400
Practice Address - Fax:718-222-8975
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0377121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice