Lawrence Spack
Pediatric Critical Care Doctor
1033 Dr Martin Luther King Jr St N Suite 108
St Petersburg
, Florida 33701-1547
Lawrence Spack
Pediatric Critical Care Doctor
1033 Dr Martin Luther King Jr St N Suite 108
St Petersburg
, Florida 33701-1547
(727) 346-1044
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Lawrence Spack
- 1033 Dr Martin Luther King Jr St N Suite 108
- St Petersburg, FL
- Zip : 33701-1547
- Fax : (727) 346-1044
- Phone : (727) 456-4250
Second Address
- Lawrence Spack
- 1033 Dr Martin Luther King Jr St N Suite 108
- St Petersburg, FL
- Zip : 33701-1547
- Fax : (727) 346-1044
- Phone : (727) 456-4250
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | ME74105 | FL |
National Provider Identifier
| NPI | 1043327752 |
|---|---|
| Provider Name | Lawrence Spack |
| First Address | St Petersburg, FL 33701-1547 |
| Second Address | St Petersburg, FL 33701-1547 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 03/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 253085600 | (05) | FL |
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.