Provider Demographics
NPI:1124174495
Name:BRICKMAN, LAWRENCE HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:HOWARD
Last Name:BRICKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22716 CARAVELLE CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5926
Mailing Address - Country:US
Mailing Address - Phone:561-417-3273
Mailing Address - Fax:561-417-9216
Practice Address - Street 1:777 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6424
Practice Address - Country:US
Practice Address - Phone:561-297-4336
Practice Address - Fax:561-297-4334
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME92007208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery