Provider Demographics
NPI:1841308905
Name:SHER, LAWRENCE MARK (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:MARK
Last Name:SHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2414 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1610
Mailing Address - Country:US
Mailing Address - Phone:718-421-2376
Mailing Address - Fax:718-421-3420
Practice Address - Street 1:2414 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1610
Practice Address - Country:US
Practice Address - Phone:718-421-2376
Practice Address - Fax:718-421-3420
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY140157207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY140157A20OtherHEALTHFIRST
NY265AJ1OtherEMPIRE BLUE CROSS
NY342200201OtherHEALTHPLUS
NY2197850OtherGHI PPO
NY3748097OtherAETNA PPO
NY651166987OtherMULTIPLAN
NY651166987OtherMAGNACARE
NY651166987SH02OtherCAREPLUS
NY901415205OtherAMERICHOICE
NYSP20176OtherCENTERCARE
NY140157OtherMETROPLUS
NY5137489OtherAETNA HMO
NY651166987OtherEMPIRE UHC
NY651166987OtherHORIZON
NY651166987Other1199 NBF
NYP2493631OtherOXFORD
NY00867038Medicaid
NY140157OtherHIP
NY651166987OtherEMPIRE UHC
NY651166987OtherMULTIPLAN