Thrush, Lawrence Blair
Thrush, Lawrence Blair is an individual health care provider with primary practice located at 3411A Noyes Ave Se , Charleston WV 25304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Thrush, Lawrence Blair can be contacted via phone (304) 344-2459.Contact Information
Primary practice address
3411A Noyes Ave Se
Charleston WV 25304
Phone: (304) 344-2459
Fax: (304) 345-1336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 11974 | West Virginia |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 11974 | West Virginia |
Profile Details
| NPI number | 1356333405 |
|---|---|
| LBN Legal business name | Thrush, Lawrence Blair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356333405 | NPPES |
| West Virginia | Other | 000113916 | BCBS |
| West Virginia | Other | 4252011 | BCBS |
| West Virginia | MEDICAID | 0070499000 | BCBS |
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