Provider Demographics
NPI:1467661108
Name:KAREN LAWITTS DDS,PC
Entity Type:Organization
Organization Name:KAREN LAWITTS DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:LAWITTS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-492-8138
Mailing Address - Street 1:100 INTREPID LN
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-2546
Mailing Address - Country:US
Mailing Address - Phone:315-492-8138
Mailing Address - Fax:315-492-6169
Practice Address - Street 1:100 INTREPID LN
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-2546
Practice Address - Country:US
Practice Address - Phone:315-492-8138
Practice Address - Fax:315-492-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty