Siegel, Lawrence Kenneth

Siegel, Lawrence Kenneth is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 210 , Columbia SC 29203-6859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Siegel, Lawrence Kenneth can be contacted via phone (803) 935-5604.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 210 Columbia SC 29203-6859
Fax: (803) 935-5380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 19804 South Carolina

Profile Details

NPI number 1417985177
LBN Legal business name Siegel, Lawrence Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 13th, 2018 - about 6 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 1417985177 NPPES
South Carolina MEDICAID T38705

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