| Organization Name: | LAWRENCE R. BLUM M.D. |
| NPI Number: | 1366620577 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE R. BLUM (OPHTHALMOLOGIST) |
| Mailing Address: | 116-24 Metropolitan Avenue 2nd Floor Richmond Hill |
| State: | NY US |
| Postal Code: | 114181017 |
| Phone Number: | 7188472020 |
| Fax Number: | 7188479457 |
| NPI Enumeration Date: | 02/11/2008 |
| NPI Last Update Date: | 07/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 188611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |