Dultz, Lawrence Roy

Dultz, Lawrence Roy is an individual health care provider with primary practice located at 1429 N 6Th St , Terre Haute IN 47807-1037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Dultz, Lawrence Roy can be contacted via phone (812) 242-3109.

Contact Information

Primary practice address
1429 N 6Th St Terre Haute IN 47807-1037
Phone: (812) 242-3109
Fax: (812) 242-3990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01044627A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 36094739 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01044627A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36094739 Illinois

Profile Details

NPI number 1255448916
LBN Legal business name Dultz, Lawrence Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 14th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255448916 NPPES
Other 000000089595 ANTHEM
MEDICAID 200083190 ANTHEM
MEDICAID 200083190X ANTHEM
Other P00834958 ANTHEM
MEDICAID 200083190O ANTHEM
MEDICAID 200083190S ANTHEM
Other 290008085 ANTHEM

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