Lawrence, Gary
Lawrence, Gary is an individual health care provider with primary practice located at 175 S Wilkes Barre Blvd , Wilkes Barre PA 18702-5040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lawrence, Gary can be contacted via phone (570) 829-2621.Contact Information
Primary practice address
175 S Wilkes Barre Blvd
Wilkes Barre PA 18702-5040
Phone: (570) 829-2621
Fax: (570) 823-4332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD034745E | Pennsylvania |
Profile Details
| NPI number | 1679533699 |
|---|---|
| LBN Legal business name | Lawrence, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 10th, 2020 - about 4 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 | 1679533699 | NPPES |
| Pennsylvania | MEDICAID | 001023180 |
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