Gratkins, Lawrence Vincent

Gratkins, Lawrence Vincent is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 2800, Normal IL 61761-3551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gratkins, Lawrence Vincent can be contacted via phone (309) 454-1074.

Contact Information

Primary practice address
1302 Franklin Ave Suite 2800 Normal IL 61761-3551
Phone: (309) 454-1074
Fax: (309) 454-3554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036059120 Illinois

Profile Details

NPI number 1912003013
LBN Legal business name Gratkins, Lawrence Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 27th, 2024 - about 9 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912003013 NPPES
Illinois MEDICAID 036059120

Popular Providers