Deziel, Lawrence P
Deziel, Lawrence P is an individual health care provider with primary practice located at 2055 Military Trl , Jupiter FL 33458-7801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Deziel, Lawrence P can be contacted via phone (561) 741-1705.Contact Information
Primary practice address
2055 Military Trl
Jupiter FL 33458-7801
Phone: (561) 741-1705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MQ50678 | Florida |
Profile Details
| NPI number | 1114984556 |
|---|---|
| LBN Legal business name | Deziel, Lawrence P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jan 4th, 2022 - about 2 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 | 1114984556 | NPPES |
| Florida | Other | 04567 | BCBS |
| Florida | MEDICAID | 047364200 | BCBS |
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