Damiani, Lawrence B
Damiani, Lawrence B is an individual health care provider with primary practice located at 3903 Hollywood Rd , Saint Joseph MI 49085-9149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Damiani, Lawrence B can be contacted via phone (269) 408-1100.Contact Information
Primary practice address
3903 Hollywood Rd
Saint Joseph MI 49085-9149
Phone: (269) 408-1100
Fax: (269) 408-1329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 5101006523 | Michigan |
Profile Details
| NPI number | 1619960010 |
|---|---|
| LBN Legal business name | Damiani, Lawrence B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1619960010 | NPPES |
| Michigan | Other | 5101006523 | STATE LICENSE |
| Michigan | MEDICAID | 4512212 | STATE LICENSE |
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