Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 248417-1 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | MT191452 | PA |
NPI | 1144424524 |
---|---|
Provider Name | James Patrick Lawrence |
First Address | Albany, NY 12206-1069 |
Second Address | Albany, NY 12206-1069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 13/04/2011 |