Shoemaker, Lawrence Raymond

Shoemaker, Lawrence Raymond is an individual health care provider with primary practice located at 725 Irving Ave , Syracuse NY 13210-1603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Shoemaker, Lawrence Raymond can be contacted via phone (315) 464-6340.

Contact Information

Primary practice address
725 Irving Ave Syracuse NY 13210-1603
Phone: (315) 464-6340
Fax: (315) 464-6329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 264373 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35271 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 35271 Kentucky

Profile Details

NPI number 1063496594
LBN Legal business name Shoemaker, Lawrence Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Sep 2nd, 2014 - about 10 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 1063496594 NPPES
Florida MEDICAID 012296800
Florida MEDICAID 64252711
Florida MEDICAID 03427103
Florida MEDICAID 200111660

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