Provider Demographics
NPI:1700905346
Name:LAWRENCE C KALKER DPM PC
Entity Type:Organization
Organization Name:LAWRENCE C KALKER DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KALKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-968-4048
Mailing Address - Street 1:6 S SYCAMORE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1533
Mailing Address - Country:US
Mailing Address - Phone:215-968-4048
Mailing Address - Fax:215-968-4396
Practice Address - Street 1:6 S SYCAMORE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1533
Practice Address - Country:US
Practice Address - Phone:215-968-4048
Practice Address - Fax:215-968-4396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC-003447-L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4213330001Medicare NSC
PAUO6478Medicare UPIN
PAKA649065Medicare ID - Type Unspecified