Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 255586 | NY |
N | 111NI0900X | Internist | 255586 | NY |
Y | 207RG0300X | Geriatric Medicine | 255586 | NY |
NPI | 1124343033 |
---|---|
Provider Name | Dr. Donna Lawrence |
First Address | New Hyde Park, NY 11040-1402 |
Second Address | New Hyde Park, NY 11040-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2010 |
Last Update Date | 17/03/2018 |