Park, Lawrence
Park, Lawrence is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Park, Lawrence can be contacted via phone (202) 560-1888.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 155555 | Massachusetts |
Profile Details
| NPI number | 1396727350 |
|---|---|
| LBN Legal business name | Park, Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Sep 19th, 2023 - about last year |
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 | 1396727350 | NPPES |
| Massachusetts | Other | J19565 | BCBS MA |
| Massachusetts | MEDICAID | 3206611 | BCBS MA |
| Massachusetts | Other | 406931 | BCBS MA |
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