Provider Demographics
NPI:1437262250
Name:COHN, LAWRENCE STEVEN (MD)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:STEVEN
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16415 SOUTH COLORADO AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723
Mailing Address - Country:US
Mailing Address - Phone:562-531-9977
Mailing Address - Fax:562-531-8457
Practice Address - Street 1:16415 SOUTH COLORADO AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723
Practice Address - Country:US
Practice Address - Phone:562-531-9977
Practice Address - Fax:562-531-8457
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG23562207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G235620Medicaid
CA00G235620Medicaid
A41995Medicare UPIN
CAG23562Medicare ID - Type Unspecified