August, David Lawrence

August, David Lawrence is an sole proprietor health care provider with primary practice located at 5605 W Eugie Ave Ste 110 , Glendale AZ 85304-1273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. August, David Lawrence can be contacted via phone (623) 847-2000.

Contact Information

Primary practice address
5605 W Eugie Ave Ste 110 Glendale AZ 85304-1273
Phone: (623) 847-2000
Fax: (623) 847-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18742 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A101781 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD.202860 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 40891 Arizona

Profile Details

NPI number 1508933847
LBN Legal business name August, David Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jan 18th, 2019 - about 5 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 1508933847 NPPES
Arizona MEDICAID 440895

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