Provider Demographics
NPI:1932282456
Name:CUTLER, LAWRENCE EARLE (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:EARLE
Last Name:CUTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 EAST 75TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-535-2700
Mailing Address - Fax:212-535-9858
Practice Address - Street 1:42 EAST 75TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-535-2700
Practice Address - Fax:212-535-9858
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149240207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B10735Medicare UPIN
19D021Medicare ID - Type Unspecified