Richard, Robert Lawrence

Richard, Robert Lawrence is an individual health care provider with primary practice located at 1120 Peachtree Industrial Blvd , Suwanee GA 30024-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Richard, Robert Lawrence can be contacted via phone (678) 207-4620.

Contact Information

Primary practice address
1120 Peachtree Industrial Blvd Suwanee GA 30024-2013
Phone: (678) 207-4620
Fax: (678) 207-4619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 050992 Georgia

Profile Details

NPI number 1114938172
LBN Legal business name Richard, Robert Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 14th, 2024 - about 5 months 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 1114938172 NPPES
Georgia MEDICAID 000948109C
Georgia MEDICAID 000948109D
Georgia MEDICAID 000948109H
Georgia Other 348302
Georgia Other 52895966
Georgia Other 582117020056
Georgia Other P01342975
Georgia MEDICAID 0009481091
Georgia MEDICAID 000948109E
Georgia Other 12483797
Georgia MEDICAID 000948109J
Georgia Other 7573710
Georgia MEDICAID 000948109M
Georgia Other 01344195
Georgia Other 110029C003330
Georgia Other 1114938172
Georgia MEDICAID 000948109F
Georgia MEDICAID 000948109N
Georgia Other 7651335
Georgia MEDICAID 000948109K
Georgia MEDICAID 000948109L
Georgia Other 582117020002
Georgia MEDICAID 000948109O

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