Davis, Lawrence Gustavo
Davis, Lawrence Gustavo is an individual health care provider with primary practice located at 6767 West 29Th Street , Greeley CO 80634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Lawrence Gustavo can be contacted via phone (970) 652-2426.Contact Information
Primary practice address
6767 West 29Th Street
Greeley CO 80634
Phone: (970) 652-2426
Fax: (970) 652-2478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47358 | Colorado |
Profile Details
| NPI number | 1851382634 |
|---|---|
| LBN Legal business name | Davis, Lawrence Gustavo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Oct 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851382634 | NPPES |
| Nebraska | MEDICAID | 10025926100 | |
| Nebraska | MEDICAID | 39126544 | |
| Nebraska | MEDICAID | 133142600 | |
| Nebraska | Other | P01022528 |
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