Mark, Lawrence A

Mark, Lawrence A is an individual health care provider with primary practice located at 550 University Blvd Uh 3240, Indianapolis IN 46202-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mark, Lawrence A can be contacted via phone (317) 274-7741.

Contact Information

Primary practice address
550 University Blvd Uh 3240 Indianapolis IN 46202-5149
Phone: (317) 274-7741
Fax: (317) 274-7051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01062068 Indiana

Profile Details

NPI number 1720025372
LBN Legal business name Mark, Lawrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Dec 30th, 2020 - about 4 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 1720025372 NPPES
Indiana MEDICAID 200822500

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