| Doctor Name: | DR. LAWRENCE SHOR |
| NPI Number: | 1720471048 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD010230E |
| Business Practice Address: | 43 Cassin Hill Rd Garnet Valley, PA - 190601338 |
| Business Phone Number: | 6103611044 |
| Business Fax Number: | |
| Mailing Address: | 43 Cassin Hill Rd, GARNET VALLEY |
| State: | PA |
| Postal Code: | 190601338 |
| Phone Number: | 6103611044 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2015 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | MD010230E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |