Provider Demographics
NPI:1831117753
Name:MAURO, LAWRENCE LOUIS JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:LOUIS
Last Name:MAURO
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9401 MCKNIGHT RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6000
Mailing Address - Country:US
Mailing Address - Phone:412-364-1477
Mailing Address - Fax:412-996-6429
Practice Address - Street 1:9401 MCKNIGHT RD
Practice Address - Street 2:SUITE 307
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6000
Practice Address - Country:US
Practice Address - Phone:412-364-1477
Practice Address - Fax:412-996-6429
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035809122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist