Provider Demographics
NPI:1457550790
Name:ARONOWITZ, LAWRENCE M (PA)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:M
Last Name:ARONOWITZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 NORTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5409
Mailing Address - Country:US
Mailing Address - Phone:561-842-3694
Mailing Address - Fax:561-842-3774
Practice Address - Street 1:550 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5409
Practice Address - Country:US
Practice Address - Phone:561-842-3694
Practice Address - Fax:561-842-3774
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9101409363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE5482Medicare PIN