Provider Demographics
NPI:1548225998
Name:SCHMITZER, LAWRENCE WALTER JR (DO)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:WALTER
Last Name:SCHMITZER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2426 BRISTOL RD
Mailing Address - Street 2:NESHAMINY VALLEY COMMONS
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020
Mailing Address - Country:US
Mailing Address - Phone:215-757-1533
Mailing Address - Fax:215-752-2402
Practice Address - Street 1:2426 BRISTOL RD
Practice Address - Street 2:NESHAMINY VALLEY COMMONS
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:215-757-1533
Practice Address - Fax:215-752-2402
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS002667L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0561540Medicaid
041886Medicare ID - Type Unspecified
D66393Medicare UPIN