Dr. Lawrence Edward Feldman, D.D.S.
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1023259751
StatusActive
Last updated in NPPESMar 9, 2009
Details
- NPI
- 1023259751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence Edward Feldman
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2009
- Last updated
- Mar 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19A13735 | IL | Yes |
Practice location
5549 N Broadway StChicago, IL 60640-1432
Phone 773-769-0123 · Fax 773-769-5990
Mailing address
5549 N Broadway StChicago, IL 60640-1432
Phone 773-769-0123 · Fax 773-769-5990
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