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
Fax: (870) 508-8900
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245237528 NPPES
Arkansas Other 08015425 RAILROAD MEDICARE
Arkansas MEDICAID 135394001 RAILROAD MEDICARE

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