Lawrence Spack
Pediatric Critical Care Medicine | Male
Lawrence Spack is a St Petersburg, Florida based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Lawrence Spack is
1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, Florida - 33701-1547. He can be contacted on phone at
727-456-4250 and fax number 727-346-1044.
Lawrence Spack is a sole proprietor of his business.
NPI number (Unique professional ID) for Lawrence Spack is
1043327752 which was assigned by NPPES on 25 Aug, 2006 and it was last updated on 03 Feb, 2010.
Lawrence Spack license number is
ME74105 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Lawrence Spack is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Lawrence Spack basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Lawrence Spack |
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| Gender : | Male |
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Business Address:
Lawrence Spack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1033 Dr Martin Luther King Jr St N, Suite 108
St Petersburg, FL, 33701-1547
United States |
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| Phone Number : | 727-456-4250 |
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| Fax Number : | 727-346-1044 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043327752 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Aug, 2006 |
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| Last Updated On : | 03 Feb, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lawrence Spack are as mentioned. Primary taxonomy code for Lawrence Spack is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME74105 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Lawrence Spack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 253085600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1033 Dr Martin Luther King Jr St N, Suite 108
St Petersburg, FL, 33701-1547
United States |
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| Phone Number : | 727-456-4250 |
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| Fax Number : | 727-346-1044 |
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Business Location:
Patients can refer following map for directions to
Lawrence Spack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.