Haber, Lawrence Lee

Haber, Lawrence Lee is an individual health care provider with primary practice located at 1410 E Woodrow Wilson Ave , Jackson MS 39216-5114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Haber, Lawrence Lee can be contacted via phone (601) 984-6525.

Contact Information

Primary practice address
1410 E Woodrow Wilson Ave Jackson MS 39216-5114
Phone: (601) 984-6525
Fax: (601) 815-1223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18299 Mississippi
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 301311 Louisiana

Profile Details

NPI number 1962441352
LBN Legal business name Haber, Lawrence Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 19th, 2016 - about 8 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 1962441352 NPPES
Mississippi Other 512I200001 UP MEDICARE PTAN
Mississippi MEDICAID 01252229 UP MEDICARE PTAN

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