Grant, Lawrence Dale
Grant, Lawrence Dale is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Grant, Lawrence Dale can be contacted via phone (864) 455-7000.Contact Information
Primary practice address
701 Grove Rd
Greenville SC 29605-4210
Phone: (864) 455-7000
Fax: (419) 866-5453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME64789 | Florida |
| Other Service Providers / Specialist | 174400000X | 23263 | Arizona |
| Other Service Providers / Specialist | 174400000X | 21835 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 21835 | South Carolina |
Profile Details
| NPI number | 1316917784 |
|---|---|
| LBN Legal business name | Grant, Lawrence Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Aug 25th, 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 | 1316917784 | NPPES |
| South Carolina | MEDICAID | T61858 |
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