Provider Demographics
NPI:1639357247
Name:DR. LAWRENCE J. FINKEL M.D., P.C.
Entity Type:Organization
Organization Name:DR. LAWRENCE J. FINKEL M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-347-3373
Mailing Address - Street 1:360 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2735
Mailing Address - Country:US
Mailing Address - Phone:540-347-3373
Mailing Address - Fax:540-341-7980
Practice Address - Street 1:360 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2735
Practice Address - Country:US
Practice Address - Phone:540-347-3373
Practice Address - Fax:540-341-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101226879207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08574Medicare PIN
VA00V151L74Medicare UPIN