Wilson, Lawrence Steven

Wilson, Lawrence Steven is an individual health care provider with primary practice located at 4422 E Columbus Dr. , Tampa FL 33605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Wilson, Lawrence Steven can be contacted via phone (813) 384-4010.

Contact Information

Primary practice address
4422 E Columbus Dr. Tampa FL 33605
Phone: (813) 384-4010
Fax: (813) 984-8419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME103702 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X ME103702 Florida

Profile Details

NPI number 1982846028
LBN Legal business name Wilson, Lawrence Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Apr 2nd, 2013 - about 11 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 1982846028 NPPES
Florida MEDICAID 002444200

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