LAWRENCE J WILCOX (NPI# 1598882516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598882516 |
| Entity Type | Individual |
| Full Name | LAWRENCE J WILCOX |
| Credential | NP |
| Practice Address |
9300 Lake Avenue Brocton NY 14716 |
| Mailing Address |
3105 Cable Rd Fredonia NY 14063-9758 |
| Practice Telephone | 7167927100 |
| Practice Fax Number | 7167927100 |
| Mailing Telephone | 7166728595 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-08-21 |
| NPI Deactivation Date | 07/17/2007 |
| NPI Reactivation Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333136 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003029471 | Lawrence Manley Wilcox | Clinical Neuropsychologist | 1421 P St., #16, Sacramento, CA 95814-5921 | 2007-05-08 |
| Street Address |
9300 LAKE AVENUE |
| City | BROCTON |
| State | NY |
| Zip Code | 14716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225465115 | Laura Lynn Neratko | Social Worker | 138 West Main St., Brocton, NY 14716 | 2013-10-09 |
| 1689796757 | Nabil Mossad Khalil | General Practice | 9300 Lake Ave, Brocton, NY 14716 | 2007-04-06 |
| 1114200235 | Donald Dwight Hellert | Dentist | 9300 Lake Ave, Brocton, NY 14716-9621 | 2011-09-25 |
| 1235448432 | Laura Shelters | Licensed Practical Nurse | 8463 Stockton Rd, Brocton, NY 14716-9723 | 2010-10-05 |
| 1225673346 | Wendy Leigh Dellow | Physical Therapist | 138 W Main St, Brocton, NY 14716-9749 | 2019-11-13 |
| 1811265481 | Patricia Elizabeth Dugan | Speech-Language Pathologist | 138 W Main St, Brocton, NY 14716-9749 | 2011-12-09 |
| 1861556797 | Brocton Central School District | Local Education Agency (LEA) | 138 W Main St, Brocton, NY 14716-9749 | 2006-12-22 |
| 1376733576 | Claudia Anne Monroe | Specialist | 148 W Main St, Brocton, NY 14716-9750 | 2007-07-25 |
| 1710339056 | Stephanie L Woleben | Specialist/Technologist | 99 Lake Ave, Brocton, NY 14716-9755 | 2016-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538556253 | Indiana Emergency Physicians | Skilled Nursing Facility | 1093 E 1525th Rd, Brocton, IL 61917-8060 | 2015-04-21 |
| 1043602352 | Sheryle Hendry | Physical Therapy Assistant | 5121 E 1700th Rd, Brocton, IL 61917-8024 | 2015-02-24 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.