Lawrence, Brian C

Lawrence, Brian C is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Lawrence, Brian C can be contacted via phone (678) 514-1991.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-0000
Phone: (678) 514-1991
Fax: (678) 514-1992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003903 Georgia

Profile Details

NPI number 1902886542
LBN Legal business name Lawrence, Brian C
Credentials PAAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 22nd, 2013 - 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 1902886542 NPPES
Georgia MEDICAID 100002166A
Georgia MEDICAID 100002166H

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