Peters, Lawrence H

Peters, Lawrence H is an sole proprietor health care provider with primary practice located at 4402 Churchman Ave Suite 404, Louisville KY 40215-1190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Peters, Lawrence H can be contacted via phone (502) 363-4156.

Contact Information

Primary practice address
4402 Churchman Ave Suite 404 Louisville KY 40215-1190
Fax: (502) 363-4158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 31716 Kentucky

Profile Details

NPI number 1417927229
LBN Legal business name Peters, Lawrence H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated May 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417927229 NPPES
Kentucky MEDICAID 64713167

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