Porter, Lawrence Thomas

Porter, Lawrence Thomas is an sole proprietor health care provider with primary practice located at 309 N 7Th Ave , West Bend WI 53095-3242. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Porter, Lawrence Thomas can be contacted via phone (262) 338-1164.

Contact Information

Primary practice address
309 N 7Th Ave West Bend WI 53095-3242
Fax: (262) 338-1646
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1412 Wisconsin

Profile Details

NPI number 1437286390
LBN Legal business name Porter, Lawrence Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 18 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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