10350 ORMSBY PARK PLACE, LOUISVILLE, 40223, KENTUCKY
| Entity Name | LAWRENCE BLUM, M.D., P.C. |
| Entity Number | 4300057 |
| Status | ACTIVE |
| Incorporation Date | 25th September 2012 |
| Dos Process Address | 572 PARK AVE., NEW YORK, 10021, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |