Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 248595 | NY |
Y | 208600000X | Surgeon | 248595 | NY |
N | 208200000X | Surgeon | 48682 | MN |
N | 208600000X | Surgeon | 48682 | MN |
N | 2082S0105X | Plastic Hand Surgeon | 248595 | NY |
NPI | 1679688378 |
---|---|
Provider Name | Lawrence Cheng Lin |
First Address | Manhasset, NY 11030-1709 |
Second Address | Manhasset, NY 11030-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 10/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I58690 | (02) |