Holman, Laurence Sidney

Holman, Laurence Sidney is an individual health care provider with primary practice located at 10880 Durant Rd Ste 324 , Raleigh NC 27614-6629. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Holman, Laurence Sidney can be contacted via phone (919) 787-7246.

Contact Information

Primary practice address
10880 Durant Rd Ste 324 Raleigh NC 27614-6629
Phone: (919) 787-7246
Fax: (919) 787-7247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003291A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1109060 Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 5006588 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5006588 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5006588 North Carolina

Profile Details

NPI number 1972828457
LBN Legal business name Holman, Laurence Sidney
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Jun 25th, 2020 - about 4 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 1972828457 NPPES
Indiana MEDICAID 201189380

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