Lawrence, Kenneth David
Lawrence, Kenneth David is an individual health care provider with primary practice located at 505 S Main St Suite 249, Las Cruces NM 88001-1206. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Lawrence, Kenneth David can be contacted via phone (505) 527-5823.Contact Information
Primary practice address
505 S Main St Suite 249
Las Cruces NM 88001-1206
Phone: (505) 527-5823
Fax: (505) 527-5886
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 822 | New Mexico |
Profile Details
NPI number | 1144357039 |
---|---|
LBN Legal business name | Lawrence, Kenneth David |
Credentials | OTRL |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2007 |
Last updated | Jul 9th, 2007 - about 17 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 | 1144357039 | NPPES |
New Mexico | MEDICAID | J2615 |
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