Organization Active NPI

David R Lawrence MD LLC

  • Internal Medicine Physician
  • Winsted, CT
National Provider Identifier
1093909871
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031325
Legal business name
DAVID R LAWRENCE MD LLC
Practice address
200 New Hartford Rd
Winsted, CT 06098
Phone
(860) 738-3398
Fax
(860) 738-2267
NPI assigned
Sep 5, 2007
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Faith Lawrence, RN
Title
Office Manager
Phone
(860) 738-3398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 031325 Primary

Addresses

Primary practice location

200 New Hartford Rd
Winsted, CT 06098

Mailing address

200 New Hartford Rd
Winsted, CT 06098
Phone (860) 738-3398

Other identifiers 1

IdentifierTypeStateIssuer
001313254MedicaidCT

National Provider Directory

National Provider Directory

Locations

200 New Hartford Rd
Ste 11
Winsted, CT 06098
Phone (860) 738-3398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1093909871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEW HARTFORD RD",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-738-3398",
            "fax_number": "860-738-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW HARTFORD RD",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-738-3398",
            "fax_number": "860-738-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R LAWRENCE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-738-3398",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": "031325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001313254",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.