Provider Demographics
NPI:1518199744
Name:LAWRENCE MEDICAL CENTER
Entity Type:Organization
Organization Name:LAWRENCE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:ERICK
Authorized Official - Last Name:SCHECHTMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-392-0301
Mailing Address - Street 1:1275 W 47TH PL
Mailing Address - Street 2:# 443
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3394
Mailing Address - Country:US
Mailing Address - Phone:305-392-0301
Mailing Address - Fax:305-392-0302
Practice Address - Street 1:1275 W 47TH PL
Practice Address - Street 2:# 443
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3394
Practice Address - Country:US
Practice Address - Phone:305-392-0301
Practice Address - Fax:305-392-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM23447261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy