Wolk, Lawrence I
Wolk, Lawrence I is an individual health care provider with primary practice located at 9197 Grant St Suite 100, Thornton CO 80229-4361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wolk, Lawrence I can be contacted via phone (303) 869-2173.Contact Information
Primary practice address
9197 Grant St Suite 100
Thornton CO 80229-4361
Phone: (303) 869-2173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31073 | Colorado |
Profile Details
| NPI number | 1104932649 |
|---|---|
| LBN Legal business name | Wolk, Lawrence I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Apr 5th, 2012 - about 13 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 | 1104932649 | NPPES |
| Colorado | MEDICAID | 01310739 |
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