Provider Demographics
NPI:1639669997
Name:BELCHER, LAWRENCE RANDOLPH III (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:RANDOLPH
Last Name:BELCHER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1216 BROADWAY
Mailing Address - Street 2:FLOOR 2 PMB 1007
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:617-356-8039
Mailing Address - Fax:818-477-4659
Practice Address - Street 1:1216 BROADWAY
Practice Address - Street 2:FLOOR 2 PMB 1007
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:617-356-8039
Practice Address - Fax:818-477-4659
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-12
Last Update Date:2023-04-25
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Provider Licenses
StateLicense IDTaxonomies
MA2856812084P0800X, 2084P0800X
OH35.1433362084P0800X
NY3128002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry