Provider Demographics
NPI:1780631036
Name:VANHORN, LAWRENCE GORDON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:GORDON
Last Name:VANHORN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3350 HWY 138
Mailing Address - Street 2:BUILDING 1, SUITE 115
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9693
Mailing Address - Country:US
Mailing Address - Phone:732-280-8088
Mailing Address - Fax:732-280-8801
Practice Address - Street 1:3350 HWY 138
Practice Address - Street 2:BUILDING 1, SUITE 115
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9693
Practice Address - Country:US
Practice Address - Phone:732-280-8088
Practice Address - Fax:732-280-8801
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJMA67736207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology