Individual provider Active NPI

Leslie Stephen Lawrence, M.D.

  • Family Medicine Physician
  • Troy, NY
National Provider Identifier
1740317239
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
175556-1 Issued in NY
Practice address
110 8TH Street
Academy Hall, Suite 3200
Troy, NY 12180
Phone
(518) 276-6287
Fax
(518) 276-8573
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 175556-1 NY Primary

Addresses

Primary practice location

110 8TH Street
Academy Hall, Suite 3200
Troy, NY 12180

Mailing address

110 8TH Street
Academy Hall, Suite 3200
Troy, NY 12180
Phone (518) 276-6287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
175556-1NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740317239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 8TH STREET",
            "address_2": "ACADEMY HALL, SUITE 3200",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-276-6287",
            "fax_number": "518-276-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 8TH STREET",
            "address_2": "ACADEMY HALL, SUITE 3200",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-276-6287",
            "fax_number": "518-276-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LESLIE",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.