Lawrence, George S
Lawrence, George S is an sole proprietor health care provider with primary practice located at 630 Burnett Dr , Mountain Home AR 72653-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lawrence, George S can be contacted via phone (870) 425-6971.Contact Information
Primary practice address
630 Burnett Dr
Mountain Home AR 72653-2941
Phone: (870) 425-6971
Fax: (870) 508-8900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E1856 | Arkansas |
Profile Details
NPI number | 1245237528 |
---|---|
LBN Legal business name | Lawrence, George S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 1st, 2005 |
Last updated | Apr 27th, 2016 - about 8 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 | 1245237528 | NPPES |
Arkansas | Other | 08015425 | RAILROAD MEDICARE |
Arkansas | MEDICAID | 135394001 | RAILROAD MEDICARE |
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