Sutton, Lawrence Madison

Sutton, Lawrence Madison is an individual health care provider with primary practice located at 1668 W Peace St , Canton MS 39046-5332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sutton, Lawrence Madison can be contacted via phone (601) 859-5213.

Contact Information

Primary practice address
1668 W Peace St Canton MS 39046-5332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 08931 Mississippi

Profile Details

NPI number 1902018716
LBN Legal business name Sutton, Lawrence Madison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated May 20th, 2021 - about 3 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 1902018716 NPPES
Mississippi MEDICAID 1114851

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