Lawrence, Todd K

Lawrence, Todd K is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703
Phone:
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34751 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34751 Iowa

Profile Details

NPI number 1790772614
LBN Legal business name Lawrence, Todd K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 7th, 2023 - about 3 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 1790772614 NPPES
Iowa Other 1790772614 BLUE SHIELD
Iowa MEDICAID 1790772614 BLUE SHIELD

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