Provider Demographics
NPI:1952533051
Name:GIVENTER, LAWRENCE (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:GIVENTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 SEAGATE DR
Mailing Address - Street 2:#703
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-2482
Mailing Address - Country:US
Mailing Address - Phone:239-263-7185
Mailing Address - Fax:
Practice Address - Street 1:81 SEAGATE DR
Practice Address - Street 2:#703
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2482
Practice Address - Country:US
Practice Address - Phone:239-263-7185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-22
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 22095207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology