Short, Lawrence Alan
Short, Lawrence Alan is an individual health care provider with primary practice located at 71 Waukegan Road Suite 200, Lake Bluff IL 60044-1662. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Short, Lawrence Alan can be contacted via phone (847) 295-9301.Contact Information
Primary practice address
71 Waukegan Road Suite 200
Lake Bluff IL 60044-1662
Phone: (847) 295-9301
Fax: (847) 295-9607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016003095 | Illinois |
Profile Details
| NPI number | 1841306008 |
|---|---|
| LBN Legal business name | Short, Lawrence Alan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841306008 | NPPES |
| Illinois | Other | 60021233 | BCBS |
| Illinois | Other | 363267075 | BCBS |
| Illinois | Other | 363267075 | BCBS |
| Illinois | Other | 000102466006 | BCBS |
| Illinois | Other | 2502493 | BCBS |
| Illinois | Other | 2137407 | BCBS |
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