Provider Demographics
NPI:1518085398
Name:LAWRENCE M LESPERANCE DDS PA
Entity Type:Organization
Organization Name:LAWRENCE M LESPERANCE DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LESPERANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-665-1263
Mailing Address - Street 1:4950 S LE JEUNE RD
Mailing Address - Street 2:STE C
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2231
Mailing Address - Country:US
Mailing Address - Phone:305-665-1263
Mailing Address - Fax:305-661-4202
Practice Address - Street 1:4950 S LE JEUNE RD
Practice Address - Street 2:STE C
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2231
Practice Address - Country:US
Practice Address - Phone:305-665-1263
Practice Address - Fax:305-661-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10936122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty