Larson, Lawrence Andrew
Larson, Lawrence Andrew is an individual health care provider with primary practice located at 123 Medical Center Dr , Brunswick ME 04011. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Larson, Lawrence Andrew can be contacted via phone (207) 373-6183.Contact Information
Primary practice address
123 Medical Center Dr
Brunswick ME 04011
Phone: (207) 373-6183
Fax: (207) 373-6178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1806 | Maine |
Profile Details
| NPI number | 1598728966 |
|---|---|
| LBN Legal business name | Larson, Lawrence Andrew |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 3rd, 2018 - about 6 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 | 1598728966 | NPPES |
| Maine | MEDICAID | 432015500 |
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