Line, Lawrence L

Line, Lawrence L is an individual health care provider with primary practice located at 3688 Veterans Memorial Dr Suite 200, Hattiesburg MS 39401-8246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Line, Lawrence L can be contacted via phone (601) 554-7400.

Contact Information

Primary practice address
3688 Veterans Memorial Dr Suite 200 Hattiesburg MS 39401-8246
Phone: (601) 554-7400
Fax: (601) 554-7488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 12369 Mississippi

Profile Details

NPI number 1427087592
LBN Legal business name Line, Lawrence L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Dec 23rd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427087592 NPPES
Mississippi MEDICAID 0114800

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