Crystal, Lawrence
Crystal, Lawrence is an sole proprietor health care provider with primary practice located at 136 Mill St , Princeton ME 04668-3344. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Crystal, Lawrence can be contacted via phone (207) 796-5503.Contact Information
Primary practice address
136 Mill St
Princeton ME 04668-3344
Phone: (207) 796-5503
Fax: (207) 796-5528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD153 | Maine |
Profile Details
| NPI number | 1508814450 |
|---|---|
| LBN Legal business name | Crystal, Lawrence |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508814450 | NPPES |
| Maine | MEDICAID | 111430000 | |
| Maine | Other | 48007894 | |
| Maine | Other | 098463 | |
| Maine | Other | 2183024 |
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