Provider Demographics
NPI:1982025649
Name:LAWRENCE A. LOUIE D.M.D.
Entity Type:Organization
Organization Name:LAWRENCE A. LOUIE D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-674-5437
Mailing Address - Street 1:250 BEISER BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7795
Mailing Address - Country:US
Mailing Address - Phone:302-674-5437
Mailing Address - Fax:302-672-9091
Practice Address - Street 1:250 BEISER BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7795
Practice Address - Country:US
Practice Address - Phone:302-674-5437
Practice Address - Fax:302-672-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00009931223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty