Provider Demographics
NPI:1356366330
Name:KASS, LAWRENCE G (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:G
Last Name:KASS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6025 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-1419
Mailing Address - Country:US
Mailing Address - Phone:727-522-3223
Mailing Address - Fax:727-521-0500
Practice Address - Street 1:6025 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-1419
Practice Address - Country:US
Practice Address - Phone:727-522-3223
Practice Address - Fax:727-521-0500
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0040911207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology