Gregg, Lawrence J

Gregg, Lawrence J is an individual health care provider with primary practice located at 2121 E 21St St , Tulsa OK 74114-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gregg, Lawrence J can be contacted via phone (918) 749-2261.

Contact Information

Primary practice address
2121 E 21St St Tulsa OK 74114-1409
Phone: (918) 749-2261
Fax: (918) 749-8712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 9455 Oklahoma

Profile Details

NPI number 1528054467
LBN Legal business name Gregg, Lawrence J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 16th, 2008 - about 17 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 1528054467 NPPES
Other 730776171002 BLUE CROSS BLUE SHIELD
MEDICAID 100116590A BLUE CROSS BLUE SHIELD
Other 876735 BLUE CROSS BLUE SHIELD
Other 4053536 BLUE CROSS BLUE SHIELD
Other 9455 BLUE CROSS BLUE SHIELD
Other 070004141 BLUE CROSS BLUE SHIELD

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