Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DN15228 | FL |
NPI | 1053527879 |
---|---|
Provider Name | Dr. Lawrence Lowell Ressler |
First Address | Delray Beach, FL 33446-2162 |
Second Address | Delray Beach, FL 33446-2162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 17/05/2015 |