National Provider Identifier
Lawrence J Wilcox, NP
Lawrence J Wilcox, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Brocton, NY and a listed phone number of (716) 792-7100.
Profile Overview
- NPI
- 1598882516
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- March 23, 2007
- Last Updated
- August 21, 2007
Practice Location
- 9300 Lake Avenue
- Brocton, NY 14716
Phone: (716) 792-7100
Mailing Address
- 3105 Cable RD
- Fredonia, NY 14063-9758
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1598882516
- Entity Type
- Individual
- Last Name
- Wilcox
- First Name
- Lawrence
- Middle Name
- J
- Credential
- NP
- Mailing Street Address
- 3105 Cable RD
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-9758
- Mailing Country
- US
- Mailing Phone
- (716) 672-8595
- Practice Street Address
- 9300 Lake Avenue
- Practice City
- Brocton
- Practice State
- NY
- Practice ZIP Code
- 14716
- Practice Country
- US
- Practice Phone
- (716) 792-7100
- Practice Fax
- (716) 792-7100
- Enumeration Date
- March 23, 2007
- Last Updated
- August 21, 2007
- Deactivation Date
- July 17, 2007
- Reactivation Date
- August 21, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)