Provider Demographics
NPI:1972825230
Name:LAWRENCE A. LEFKOWITZ, MD, PC
Entity Type:Organization
Organization Name:LAWRENCE A. LEFKOWITZ, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-853-1754
Mailing Address - Street 1:1 COLONY ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5801
Mailing Address - Country:US
Mailing Address - Phone:203-853-1754
Mailing Address - Fax:203-852-6758
Practice Address - Street 1:1 COLONY ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5801
Practice Address - Country:US
Practice Address - Phone:203-853-1754
Practice Address - Fax:203-852-6758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT017482207X00000X
CT007365225100000X
CT005359225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2V5880OtherHEALTHNET
CT010017482CT01OtherANTHEM BLUE CROSS/BLUE SHIELD
CT4252585OtherAETNA
CTZS473OtherOXFORD HEALTH PLANS
CT236761OtherUNITED HEALTHCARE
CT919461OtherEMPIRE BLUE CROSS/BLUE SHIELD
CT0560670001Medicare NSC
CT4252585OtherAETNA