Provider Demographics
NPI:1245298678
Name:COHEN, LAWRENCE F (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:F
Last Name:COHEN
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:PO BOX 16534
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-6534
Mailing Address - Country:US
Mailing Address - Phone:919-967-6646
Mailing Address - Fax:919-967-6647
Practice Address - Street 1:150 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2823
Practice Address - Country:US
Practice Address - Phone:434-792-6326
Practice Address - Fax:434-792-5122
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010142894207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA181360OtherBC/BS (ANTHEM)
VA010259967Medicaid
VA00W511P01Medicare ID - Type Unspecified
VAD94215Medicare UPIN