Way, Lawrence E.

Way, Lawrence E. is an individual health care provider with primary practice located at 104 Paddock St Ste. 103, Watertown NY 13601-3948. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Way, Lawrence E. can be contacted via phone (315) 782-3101.

Contact Information

Primary practice address
104 Paddock St Ste. 103 Watertown NY 13601-3948
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 31453 New York

Profile Details

NPI number 1932199635
LBN Legal business name Way, Lawrence E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1932199635 NPPES
New York MEDICAID 01137613

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