Provider Demographics
NPI:1518225317
Name:FREEDMAN, LAWRENCE TOLLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:TOLLIN
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 FARRIER LN
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2465
Mailing Address - Country:US
Mailing Address - Phone:215-643-6485
Mailing Address - Fax:215-643-6486
Practice Address - Street 1:12 FARRIER LN
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2465
Practice Address - Country:US
Practice Address - Phone:215-643-6485
Practice Address - Fax:215-643-6486
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD25055L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology