Kosova, Lawrence M
Kosova, Lawrence M is an individual health care provider with primary practice located at 640 S Washington St Ste 240 , Naperville IL 60540-6792. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kosova, Lawrence M can be contacted via phone (630) 355-3668.Contact Information
Primary practice address
640 S Washington St Ste 240
Naperville IL 60540-6792
Phone: (630) 355-3668
Fax: (630) 355-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004029 | Illinois |
Profile Details
| NPI number | 1649257221 |
|---|---|
| LBN Legal business name | Kosova, Lawrence M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649257221 | NPPES |
| Other | 480032630 | RR MEDICARE | |
| Other | 2230194 | RR MEDICARE | |
| MEDICAID | 016004029 | RR MEDICARE |
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