Lawrence, Thomas L
Lawrence, Thomas L is an individual health care provider with primary practice located at 1327 Superior St , Sandpoint ID 83864-1735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lawrence, Thomas L can be contacted via phone (208) 263-7101.Contact Information
Primary practice address
1327 Superior St
Sandpoint ID 83864-1735
Phone: (208) 263-7101
Fax: (208) 263-7198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M3653 | Idaho |
Profile Details
| NPI number | 1427055813 |
|---|---|
| LBN Legal business name | Lawrence, Thomas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Nov 18th, 2008 - about 16 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 | 1427055813 | NPPES |
| Idaho | MEDICAID | 002792500 | |
| Idaho | MEDICAID | 806590100 |
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