Malmstrom, Laurie Lynn

Malmstrom, Laurie Lynn is an individual health care provider with primary practice located at 701 Grove Rd Gmh Er Administration, Greenville SC 29605-5611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Malmstrom, Laurie Lynn can be contacted via phone (864) 455-6372.

Contact Information

Primary practice address
701 Grove Rd Gmh Er Administration Greenville SC 29605-5611
Phone: (864) 455-6372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 21139 South Carolina

Profile Details

NPI number 1093732091
LBN Legal business name Malmstrom, Laurie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Mar 7th, 2023 - about 2 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 1093732091 NPPES
South Carolina MEDICAID 211390
South Carolina Other 57-6007863
South Carolina Other 57-6007863
South Carolina Other 57-6007863
South Carolina Other 167193
South Carolina Other 930081471
South Carolina Other 20-21139
South Carolina Other 20004419

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