Jack Lawrence

Primary specialty

DentistTaxonomy code 122300000X

License

057478 Issued in NY

Practice address

1901 Union Blvd
Allentown, PA 18109-1676

Phone

(640) 437-5353

NPI assigned

Sep 13, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464998400000",
    "number": "1851673123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 3RD AVE",
            "address_2": "APT 4K",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013924",
            "telephone_number": "570-856-0615",
            "fax_number": "570-856-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181091676",
            "telephone_number": "640-437-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2016-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Lawler Jr., PA-C
• Lawrence E. Glaser, D.M.D., P.C.
• Anastasia Lawrence, RPH
• Christina Marie Lawrence, DMD
• Heather Lawrence
• Kaitlyn Lawrence, PA-C
• Shane D Lawrence, PHARMD
• Sarah C Lawson
• Paul W. Layden Jr., MD
• Devon Layfield, MSW, LGSW

• Dentist in Allentown, PA
• Providers in Allentown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2016; 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.