Fuller, Lawrence P
Fuller, Lawrence P is an sole proprietor health care provider with primary practice located at 703 N Main St , Kissimmee FL 34744-5265. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fuller, Lawrence P can be contacted via phone (407) 846-2020.Contact Information
Primary practice address
703 N Main St
Kissimmee FL 34744-5265
Phone: (407) 846-2020
Fax: (407) 846-8039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC00797 | Florida |
Profile Details
| NPI number | 1447243589 |
|---|---|
| LBN Legal business name | Fuller, Lawrence P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Feb 26th, 2008 - about 17 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 | 1447243589 | NPPES |
| Florida | Other | 596166473 | TAX ID |
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