Provider Demographics
NPI:1801805619
Name:SILVERMAN, LAWRENCE M (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:M
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LAWRENCE
Other - Middle Name:M
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M,D
Mailing Address - Street 1:181 LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-5447
Mailing Address - Country:US
Mailing Address - Phone:925-820-5049
Mailing Address - Fax:925-820-3706
Practice Address - Street 1:181 LOWELL DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-5447
Practice Address - Country:US
Practice Address - Phone:925-820-5049
Practice Address - Fax:925-820-3706
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25801208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G258010Medicaid
CA00G258010Medicaid
CA00G258010Medicare ID - Type Unspecified