Look up the most recent NPI and PECOS records

David Talbot Lawrence

Emergency Medicine

Allopathic & Osteopathic Physicians

Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350

PECOS Enrollment

This provider is enrolled in PECOS as DAVID LAWRENCE.

Based on the most recent information from CMS, provider David Talbot Lawrence is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1144273228
Provider Type
Individual
Full Name
Lawrence, David Talbot
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/18/2006
Last Updated
7/2/2012

Contact Information

Practice Location

Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350

(631) 444-2478

Unlisted Fax

Mailing Location

Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350

(631) 444-2478

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 235578 New York
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 0102201884 Virginia

Provider Identifiers

ID	Description	Issuer
ID 1144273228	Description Medicaid	Issuer Unlisted Virginia

David Talbot Lawrence

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Valenzuela, Rolando Gabriel

Sumon, Kazi N

Conrad, Cara

Khwaja, Sayed M.

Leavens, John E

Salway, Richard James

Khan, Ali Shah

Corcoran, Joseph Patrick

Heslin, Samita Mohanasundaram

Niyazov, Richard