Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | OS5706 | FL |
NPI | 1063629046 |
---|---|
Provider Name | Lawrence Joel Shapiro |
First Address | Delray Beach, FL 33445-3850 |
Second Address | Delray Beach, FL 33445-3850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |