Gardner, Lawrence Gale

Gardner, Lawrence Gale is an individual health care provider with primary practice located at 1501 Kings Hwy Otolaryngology/Hns, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Gardner, Lawrence Gale can be contacted via phone (318) 675-5000.

Contact Information

Primary practice address
1501 Kings Hwy Otolaryngology/Hns Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 3843 Tennessee
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 007896 Louisiana

Profile Details

NPI number 1215911516
LBN Legal business name Gardner, Lawrence Gale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Mar 13th, 2014 - 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 1215911516 NPPES
Louisiana MEDICAID 1621072
Louisiana Other 4J587F600

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