Provider Demographics
NPI:1306966890
Name:ASHKINAZY, LAWRENCE (DC)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:ASHKINAZY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10778 WILES RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2009
Mailing Address - Country:US
Mailing Address - Phone:954-346-5750
Mailing Address - Fax:954-757-2533
Practice Address - Street 1:10778 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-2009
Practice Address - Country:US
Practice Address - Phone:954-346-5750
Practice Address - Fax:954-757-2533
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55352OtherBS NUMBER