Provider Demographics
NPI:1417989302
Name:HANDLER, LAWRENCE (DPM)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:HANDLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11433 JACARANDA DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-3847
Mailing Address - Country:US
Mailing Address - Phone:915-575-9562
Mailing Address - Fax:
Practice Address - Street 1:9915 TAMIAMI TRL N STE 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1927
Practice Address - Country:US
Practice Address - Phone:239-566-8800
Practice Address - Fax:239-566-8778
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4253213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118727300Medicaid
NYP37341Medicare PIN
NYT51132Medicare UPIN