Miller, Lawrence Gordon
Miller, Lawrence Gordon is an sole proprietor health care provider with primary practice located at 8002 Discovery Dr Suite 101, Richmond VA 23229-8601. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Miller, Lawrence Gordon can be contacted via phone (804) 282-2848.Contact Information
Primary practice address
8002 Discovery Dr Suite 101
Richmond VA 23229-8601
Phone: (804) 282-2848
Fax: (804) 673-3546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 0101032522 | Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101032522 | Virginia |
Profile Details
| NPI number | 1417979865 |
|---|---|
| LBN Legal business name | Miller, Lawrence Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 17th, 2017 - about 8 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 | 1417979865 | NPPES |
| Virginia | Other | 24848 | MDIPA |
| Virginia | MEDICAID | 006205917 | MDIPA |
| Virginia | Other | 045806 | MDIPA |
| Virginia | Other | 501270 | MDIPA |
| Virginia | Other | 541421810 | MDIPA |
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