Provider Demographics
NPI:1285720052
Name:PAPE, LAWRENCE GERARD (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:GERARD
Last Name:PAPE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9 E 63RD ST
Mailing Address - Street 2:LOBBY LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7236
Mailing Address - Country:US
Mailing Address - Phone:212-755-6165
Mailing Address - Fax:212-754-6578
Practice Address - Street 1:9 E 63RD ST
Practice Address - Street 2:LOBBY LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7236
Practice Address - Country:US
Practice Address - Phone:212-755-6165
Practice Address - Fax:212-754-6578
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY116593207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY289811Medicare ID - Type Unspecified
C07851Medicare UPIN