Organization Name: | LAWRENCE G VAN HORN MD PA |
NPI Number: | 1881676039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE GORDON VAN HORN (OFFICER) |
Mailing Address: | 3350 Highway 138 Building 1 Suite 115 Wall Township |
State: | NJ US |
Postal Code: | 077199693 |
Phone Number: | 7322808088 |
Fax Number: | 7322808801 |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA67736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |