Lawrence, Michael R

Lawrence, Michael R is an individual health care provider with primary practice located at 1025 New Moody Ln , La Grange KY 40031-9154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lawrence, Michael R can be contacted via phone (502) 222-3347.

Contact Information

Primary practice address
1025 New Moody Ln La Grange KY 40031-9154
Fax: (502) 222-3634
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27328 Kentucky

Profile Details

NPI number 1306887633
LBN Legal business name Lawrence, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 7th, 2023 - about last year

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 1306887633 NPPES
Kentucky Other 27328 KENTUCKY LICENSE
Kentucky MEDICAID 64273287 KENTUCKY LICENSE

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