Provider Demographics
NPI:1790859460
Name:BARR, LAWRENCE ISAAC (DO)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ISAAC
Last Name:BARR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 ROUTE 70 WEST
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002
Mailing Address - Country:US
Mailing Address - Phone:856-616-2999
Mailing Address - Fax:856-616-1437
Practice Address - Street 1:455 ROUTE 70 WEST
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002
Practice Address - Country:US
Practice Address - Phone:856-616-2999
Practice Address - Fax:856-616-1437
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMR52185207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F01654OtherHEALTHNET
NJ5646901Medicaid
1061168OtherHORIZON
1130484OtherUNITED HEALTH CARE
4520647OtherAETNA
OXFORDOtherJ5069
4520647OtherAETNA
F71091Medicare UPIN