Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35041417 | OH |
NPI | 1215906821 |
---|---|
Provider Name | Lawrence Jay Newman |
First Address | Cincinnati, OH 45242-4471 |
Second Address | Cincinnati, OH 45242-4471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 26/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0500201 | (05) | OH |
A47656 | (02) | OH |