Forur, Lawrence

Forur, Lawrence is an individual health care provider with primary practice located at 150 Islip Ave Suite 12, Islip NY 11751-3222. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Forur, Lawrence can be contacted via phone (631) 581-5100.

Contact Information

Primary practice address
150 Islip Ave Suite 12 Islip NY 11751-3222
Fax: (631) 581-7512
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004284 New York

Profile Details

NPI number 1023081247
LBN Legal business name Forur, Lawrence
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023081247 NPPES
New York MEDICAID 00887274

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