Provider Demographics
NPI:1962689331
Name:LAWRENCE M SINCLAIR MD PA
Entity Type:Organization
Organization Name:LAWRENCE M SINCLAIR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-344-4333
Mailing Address - Street 1:10167 NW 31ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-6152
Mailing Address - Country:US
Mailing Address - Phone:954-344-4333
Mailing Address - Fax:954-340-8795
Practice Address - Street 1:10167 NW 31ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-6152
Practice Address - Country:US
Practice Address - Phone:954-344-4333
Practice Address - Fax:954-340-8795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL204162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty