Provider Demographics
NPI:1871554881
Name:KIRSCHENBAUM, LAWRENCE P (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:P
Last Name:KIRSCHENBAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11020 RCA CENTER DR STE 2004
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4277
Mailing Address - Country:US
Mailing Address - Phone:561-331-5050
Mailing Address - Fax:561-331-3711
Practice Address - Street 1:11020 RCA CENTER DR STE 2004
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4277
Practice Address - Country:US
Practice Address - Phone:561-331-5050
Practice Address - Fax:561-331-3711
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT28013207L00000X, 208VP0014X
MA225216207L00000X
FLME50386208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology