Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 25MA06191500 | NJ |
Y | 207Q00000X | Family Doctor | C10001808 | DE |
N | 207Q00000X | Family Doctor | MD057869L | PA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 25MA06191500 | NJ |
N | 207QG0300X | Family Doctor - Geriatric Medicine | C1-0001808 | DE |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD057869L | PA |
NPI | 1154313179 |
---|---|
Provider Name | Lawrence Michael Markman |
First Address | Wilmington, DE 19803-3300 |
Second Address | Wilmington, DE 19803-3300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B66498 | (02) |