Holmgren, Lawrence Scott
Holmgren, Lawrence Scott is an individual health care provider with primary practice located at 1004 Medical Park Blvd , Edmond OK 73013. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Holmgren, Lawrence Scott can be contacted via phone (405) 348-8184.Contact Information
Primary practice address
1004 Medical Park Blvd
Edmond OK 73013
Phone: (405) 348-8184
Fax: (405) 348-5349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4694 | Oklahoma |
Profile Details
| NPI number | 1407863616 |
|---|---|
| LBN Legal business name | Holmgren, Lawrence Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 23rd, 2009 - about 15 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 | 1407863616 | NPPES |
| Other | 731474414001 | BLUE CROSS BLUE SHIELD |
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