Sullivan, Lawrence X
Sullivan, Lawrence X is an individual health care provider with primary practice located at 4815 Liberty Ave Suite 156, Pittsburgh PA 15224-2156. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Sullivan, Lawrence X can be contacted via phone (412) 578-3505.Contact Information
Primary practice address
4815 Liberty Ave Suite 156
Pittsburgh PA 15224-2156
Phone: (412) 578-3505
Fax: (412) 688-7799
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD041027E | Pennsylvania |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD041027E | Pennsylvania |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD041027E | Pennsylvania |
Profile Details
NPI number | 1982680674 |
---|---|
LBN Legal business name | Sullivan, Lawrence X |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2005 |
Last updated | Oct 7th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982680674 | NPPES |
Pennsylvania | MEDICAID | 001141498 | |
Pennsylvania | Other | 10937285 |
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