Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0050710 | MD |
Y | 208600000X | Surgeon | D0050710 | MD |
NPI | 1003826033 |
---|---|
Provider Name | Lawrence I Rosenberg |
First Address | Lutherville, MD 21093 |
Second Address | Lutherville, MD 21093-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G3684 | (02) |