Gardner, Lawrence

Gardner, Lawrence is an sole proprietor health care provider with primary practice located at 88 Red Pine Est , Morrisville VT 05661-8580. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gardner, Lawrence can be contacted via phone (804) 937-8458.

Contact Information

Primary practice address
88 Red Pine Est Morrisville VT 05661-8580
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890074988 Vermont

Profile Details

NPI number 1619991684
LBN Legal business name Gardner, Lawrence
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jun 14th, 2016 - about 8 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 1619991684 NPPES
Virginia MEDICAID 010297842
Virginia MEDICAID 010038065
Virginia MEDICAID 010169062

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