| Doctor Name: | DR. LAWRENCE SEIDENSTEIN |
| NPI Number: | 1255310116 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME37167 |
| Business Practice Address: | 1620 Medical Ln Suite 100 Ft Myers, FL - 339071143 |
| Business Phone Number: | 2399392305 |
| Business Fax Number: | 2399390947 |
| Mailing Address: | 14275 Midway Rd, Suite 400 ADDISON |
| State: | TX |
| Postal Code: | 750013614 |
| Phone Number: | 2399392305 |
| Fax Number: | 6102714245 |
| NPI Enumeration Date: | 01/10/2006 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ZI0100X |
| License Number: | ME37167 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Immunopathology |
| Taxonomy Definition: | A pathologist who specializes in the diagnosis of immunologic diseases. |