Sampson, Lawrence Nathan

Sampson, Lawrence Nathan is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Sampson, Lawrence Nathan can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 205449-1 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD056226L Pennsylvania

Profile Details

NPI number 1053385583
LBN Legal business name Sampson, Lawrence Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 9th, 2021 - about 4 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 1053385583 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York Other P00313956 RR MEDICARE GROUP
New York MEDICAID 0015361120001 RR MEDICARE GROUP
New York Other 770002511 RR MEDICARE GROUP
New York Other CC9269 RR MEDICARE GROUP
New York Other GU039818 RR MEDICARE GROUP
New York MEDICAID 01575699 RR MEDICARE GROUP

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