Kassan, Lawrence D

Kassan, Lawrence D is an individual health care provider with primary practice located at 2101 Snyder Ave , Philadelphia PA 19145-2719. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kassan, Lawrence D can be contacted via phone (215) 336-4151.

Contact Information

Primary practice address
2101 Snyder Ave Philadelphia PA 19145-2719
Phone: (215) 336-4151
Fax: (215) 336-5111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003381L Pennsylvania

Profile Details

NPI number 1932107810
LBN Legal business name Kassan, Lawrence D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 17th, 2018 - about 6 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 1932107810 NPPES
Pennsylvania MEDICAID 001279740-0001

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