Lawrence P Deziel, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MQ50678 Issued in FL

Practice address

2055 Military TRL
Jupiter, FL 33458-7801

Phone

(561) 741-1705

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lawrence.deziel@sep.eclinicaldirectplus.com
• Direct secure messaging: ldeziel19652@jupitermedicalcenter.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palm Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Jupiter, FL
  • NPI 1427830744
  NPD Authorized official
• Jupiter Outpatient Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jupiter, FL
  • NPI 1417903899
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1114984556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL STE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587830",
            "telephone_number": "561-741-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587801",
            "telephone_number": "561-741-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZIEL",
        "first_name": "LAWRENCE",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "MQ50678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04567",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047364200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.deziel@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2055 Military Trl",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334587801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marise Desir
• Courtney L Desrosiers, PA-C
• Ryan Howard Devine, DO
• Susan M Deyoe
• Allyson Deziel, MD
• Diabetes Direct Inc
• Diabetes Providers Inc
• Dialysis Services Inc
• Dianexus Medical Laboratories LLC
• Sonia Diaz Laguer

• Anesthesiology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.