Provider Demographics
NPI:1316943830
Name:MASS, LAWRENCE D (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:D
Last Name:MASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:605 N BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2501
Mailing Address - Country:US
Mailing Address - Phone:215-643-2119
Mailing Address - Fax:215-643-3568
Practice Address - Street 1:605 N BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2501
Practice Address - Country:US
Practice Address - Phone:215-643-2119
Practice Address - Fax:215-643-3568
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD066124L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA025220Medicare PIN