Kidd, Lawrence G

Kidd, Lawrence G is an individual health care provider with primary practice located at 25 Marston St Suite 401, Lawrence MA 01841-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Kidd, Lawrence G can be contacted via phone (978) 682-3686.

Contact Information

Primary practice address
25 Marston St Suite 401 Lawrence MA 01841-2310
Phone: (978) 682-3686
Fax: (978) 794-0841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 41919 Massachusetts

Profile Details

NPI number 1639121957
LBN Legal business name Kidd, Lawrence G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 23rd, 2014 - about 11 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 1639121957 NPPES
Massachusetts MEDICAID 0133957
Massachusetts Other 042799825
Massachusetts Other 531260
Massachusetts Other 9200058
Massachusetts Other D13212
Massachusetts Other 66729
Massachusetts Other 703254
Massachusetts Other 94070
Massachusetts Other 0107432YPMA01
Massachusetts Other 33580

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