Basic Information
Provider Information
NPI: 1093775694
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOCHMAN
FirstName: LAWRENCE
MiddleName: DAVID
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 HOSPITAL BLVD
Address2:  
City: JEFFERSONVILLE
State: IN
PostalCode: 471303769
CountryCode: US
TelephoneNumber: 8122823899
FaxNumber: 8122824172
Practice Location
Address1: 1322 SPRING ST
Address2:  
City: JEFFERSONVILLE
State: IN
PostalCode: 47130
CountryCode: US
TelephoneNumber: 8122823899
FaxNumber: 8122824172
Other Information
ProviderEnumerationDate: 03/27/2006
LastUpdateDate: 09/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X04403KYN Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
2085R0001X02005479AINY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

ID Information
IDTypeStateIssuerDescription
710055096005KY MEDICAID
K26476001KYKY MEDICAREOTHER
92000752401FLRAILROAD MEDICAREOTHER
12262002001ININ MEDICAREOTHER
30001693205IN MEDICAID
P0120554201FLRAILROAD MEDICAREOTHER


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