Provider Demographics
NPI:1457526279
Name:APPAH, LAWRENCE (LPN)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:
Last Name:APPAH
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 BOSTON RD
Mailing Address - Street 2:APT 5A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2569
Mailing Address - Country:US
Mailing Address - Phone:646-361-2298
Mailing Address - Fax:646-361-2298
Practice Address - Street 1:20 LENOX AVE
Practice Address - Street 2:APT 5L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-3831
Practice Address - Country:US
Practice Address - Phone:646-361-2298
Practice Address - Fax:646-361-2298
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7217822164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02147524Medicare PIN