Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME77925 | FL |
NPI | 1003826868 |
---|---|
Provider Name | Dr. Lawrence Kenneth Harris |
First Address | Naples, FL 34109-2002 |
Second Address | Naples, FL 34109-2002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 21/12/2011 |