Warren, Lawrence

Warren, Lawrence is an individual health care provider with primary practice located at 3109 6Th Ave , Fort Worth TX 76110-3800. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Warren, Lawrence can be contacted via phone (817) 921-5339.

Contact Information

Primary practice address
3109 6Th Ave Fort Worth TX 76110-3800
Phone: (817) 921-5339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0465 Texas

Profile Details

NPI number 1730111782
LBN Legal business name Warren, Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 16th, 2010 - about 14 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 1730111782 NPPES
Texas MEDICAID 018790801
Texas Other 8AJ098
Texas Other 8F8751

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