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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1720025372 | NPPES |
| Indiana | MEDICAID | 200822500 |
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