Atherton, Lawrence

Atherton, Lawrence is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Atherton, Lawrence can be contacted via phone (217) 366-1304.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3981
Phone: (217) 366-1304
Fax: (217) 366-7427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-078664 Illinois

Profile Details

NPI number 1124033642
LBN Legal business name Atherton, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124033642 NPPES
Illinois Other 279500 MEDICARE GROUP
Illinois Other 060016815 MEDICARE GROUP
Illinois MEDICAID 036078664 1 MEDICARE GROUP

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