Provider Demographics
NPI:1609981885
Name:COHN, LAWRENCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:
Last Name:COHN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9485 SW 72ND ST
Mailing Address - Street 2:SUITE A 195
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3242
Mailing Address - Country:US
Mailing Address - Phone:305-271-9560
Mailing Address - Fax:305-273-8711
Practice Address - Street 1:9485 SW 72ND ST
Practice Address - Street 2:SUITE A 195
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3242
Practice Address - Country:US
Practice Address - Phone:305-271-9560
Practice Address - Fax:305-273-8711
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1293213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041134500Medicaid
FL87693Medicare ID - Type Unspecified
T85777Medicare UPIN