De Lay, Lawrence John

De Lay, Lawrence John is an individual health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. De Lay, Lawrence John can be contacted via phone (850) 864-0269.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 864-0269
Fax: (850) 862-1163
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 57260-20 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301505912 Michigan

Profile Details

NPI number 1467606616
LBN Legal business name De Lay, Lawrence John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Sep 19th, 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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