Mollo, Lawrence Thomas

Mollo, Lawrence Thomas is an sole proprietor health care provider with primary practice located at 12142 Business Park Blvd N , Champlin MN 55316-4525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mollo, Lawrence Thomas can be contacted via phone (952) 977-0500.

Contact Information

Primary practice address
12142 Business Park Blvd N Champlin MN 55316-4525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 62157 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125061609 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125061609 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62157 Minnesota

Profile Details

NPI number 1508122334
LBN Legal business name Mollo, Lawrence Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2012
Last updated Jul 21st, 2022 - about 3 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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