Provider Demographics
NPI:1245295625
Name:KASS, LAWRENCE (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:KASS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7225 OLD OAK BLVD
Mailing Address - Street 2:317B
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3339
Mailing Address - Country:US
Mailing Address - Phone:440-816-2724
Mailing Address - Fax:330-225-3865
Practice Address - Street 1:7225 OLD OAK BLVD
Practice Address - Street 2:317B
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3339
Practice Address - Country:US
Practice Address - Phone:440-816-2724
Practice Address - Fax:330-225-3865
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH028869207RH0003X, 207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology