Lark, Thomas Lawrence
Lark, Thomas Lawrence is an individual health care provider with primary practice located at 8800 W Emerald St , Boise ID 83704-8205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lark, Thomas Lawrence can be contacted via phone (208) 373-5000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | M7000 | Idaho |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | M7000 | Idaho |
Profile Details
| NPI number | 1609818699 |
|---|---|
| LBN Legal business name | Lark, Thomas Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 29th, 2007 - about 18 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 | 1609818699 | NPPES |
| Oregon | MEDICAID | 022753 |
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