Model, Lawrence M

Model, Lawrence M is an sole proprietor health care provider with primary practice located at 2230 W Atlantic Ave , Delray Beach FL 33445-4637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Model, Lawrence M can be contacted via phone (866) 300-6955.

Contact Information

Primary practice address
2230 W Atlantic Ave Delray Beach FL 33445-4637
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 135753 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME137239 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME137239 Florida

Profile Details

NPI number 1184621054
LBN Legal business name Model, Lawrence M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2005
Last updated Aug 22nd, 2019 - about 5 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 1184621054 NPPES
New York MEDICAID 00916876

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