Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD056582L | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD056582L | PA |
NPI | 1033116421 |
---|---|
Provider Name | Lawrence E Weiss |
First Address | Allentown, PA 18104-9147 |
Second Address | Allentown, PA 18104-9147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 11/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017973980003 | (05) | PA |
G94989 | (02) | PA |