Lewellyn, Larry L
Lewellyn, Larry L is an sole proprietor health care provider with primary practice located at 4007 James Casey St Suite A150, Austin TX 78745-3369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lewellyn, Larry L can be contacted via phone (512) 447-0707.Contact Information
Primary practice address
4007 James Casey St Suite A150
Austin TX 78745-3369
Phone: (512) 447-0707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G4336 | Texas |
Profile Details
| NPI number | 1821064098 |
|---|---|
| LBN Legal business name | Lewellyn, Larry L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Sep 20th, 2011 - about 14 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 | 1821064098 | NPPES |
| Texas | MEDICAID | 127141301 |
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