Mccormack, Lawrence R
Mccormack, Lawrence R is an individual health care provider with primary practice located at 703 Tyler St Ste 151, Sandusky OH 44870-3392. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mccormack, Lawrence R can be contacted via phone (419) 627-1056.Contact Information
Primary practice address
703 Tyler St Ste 151
Sandusky OH 44870-3392
Phone: (419) 627-1056
Fax: (419) 627-6269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 034991 | Ohio |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 034991 | Ohio |
Profile Details
| NPI number | 1831168608 |
|---|---|
| LBN Legal business name | Mccormack, Lawrence R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Apr 3rd, 2017 - about 7 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 | 1831168608 | NPPES |
| Ohio | MEDICAID | 0361791 |
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