Prabhakar, Lawrence P

Prabhakar, Lawrence P is an individual health care provider with primary practice located at 5668 E State St , Rockford IL 61108-2464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Prabhakar, Lawrence P can be contacted via phone (815) 229-7580.

Contact Information

Primary practice address
5668 E State St Rockford IL 61108-2464
Phone: (815) 229-7580
Fax: (815) 229-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036098121 Illinois

Profile Details

NPI number 1467482828
LBN Legal business name Prabhakar, Lawrence P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 6th, 2015 - about 10 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 1467482828 NPPES
Illinois MEDICAID 036098121
Illinois Other 280000796
Illinois MEDICAID 32473900

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