Lawrence Raymond Shoemaker
Pediatrician Pediatric Nephrologist
725 Irving Ave
Syracuse
, New York 13210-1603
Lawrence Raymond Shoemaker
Pediatrician Pediatric Nephrologist
725 Irving Ave
Syracuse
, New York 13210-1603
(315) 464-6329
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Lawrence Raymond Shoemaker
- 725 Irving Ave
- Syracuse, NY
- Zip : 13210-1603
- Fax : (315) 464-6329
- Phone : (315) 464-6340
Second Address
- Lawrence Raymond Shoemaker
- 725 Irving Ave
- Syracuse, NY
- Zip : 13210-1603
- Fax : (315) 464-6329
- Phone : (315) 464-6340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 35271 | KY |
| Y | 2080P0210X | Pediatric Nephrologist | 264373 | NY |
| N | 2080P0210X | Pediatric Nephrologist | 35271 | KY |
National Provider Identifier
| NPI | 1063496594 |
|---|---|
| Provider Name | Lawrence Raymond Shoemaker |
| First Address | Syracuse, NY 13210-1603 |
| Second Address | Syracuse, NY 13210-1603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2005 |
| Last Update Date | 02/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 012296800 | (05) | FL |
| 03427103 | (05) | NY |
| 200111660 | (05) | IN |
| 64252711 | (05) | KY |
| G38542 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.