Provider Demographics
NPI:1356488720
Name:LAWRENCE CHARLES PARISH MD
Entity Type:Organization
Organization Name:LAWRENCE CHARLES PARISH MD
Other - Org Name:PARISH DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-563-8333
Mailing Address - Street 1:1760 MARKET ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4134
Mailing Address - Country:US
Mailing Address - Phone:215-563-8333
Mailing Address - Fax:215-563-3044
Practice Address - Street 1:1760 MARKET ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4134
Practice Address - Country:US
Practice Address - Phone:215-563-8333
Practice Address - Fax:215-563-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty