Lawrence F. Fass MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME15850 Issued in FL

Legal business name

LAWRENCE F. FASS MD PA

Practice address

6405 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-1412

Phone

(954) 776-7300

Fax

(954) 776-7307

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence F. Fass, MD

Title

President

Phone

(954) 776-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1457647141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-776-7300",
            "fax_number": "954-776-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-776-7300",
            "fax_number": "954-776-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE F. FASS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "FASS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME15850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042255000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D58354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Lavandera Rodriguez
• Milap Lavani, DMD
• Michael Daniel Lavelanet, PA-C
• Michelle Natalie Laverde, CRNA
• Valdy Lavina
• Allecia Ann Lawrence-Leiba, MSN, ARNP, FNP-BC
• Starlene Lawrence, APRN PMHNP-BC
• Shakyra Lawson, LCSW
• Jeffrey A Lawton, PA-C
• Ruth Esther Lazard-Germain, ARNP

• Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.