Golusinski, Lawrence Leo
Golusinski, Lawrence Leo is an sole proprietor health care provider with primary practice located at 1080 Peachtree St Ne Ste 12 , Atlanta GA 30309-6857. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Golusinski, Lawrence Leo can be contacted via phone (404) 253-3660.Contact Information
Primary practice address
1080 Peachtree St Ne Ste 12
Atlanta GA 30309-6857
Phone: (404) 253-3660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 038777 | Georgia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 038777 | Georgia |
Profile Details
| NPI number | 1790742526 |
|---|---|
| LBN Legal business name | Golusinski, Lawrence Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 30th, 2020 - about 5 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 | 1790742526 | NPPES |
| Georgia | MEDICAID | 00624357Z |
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