Braccia, Lawrence Henry
Braccia, Lawrence Henry is an individual health care provider with primary practice located at 225 Baldwin Ave , Charlotte NC 28204. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Braccia, Lawrence Henry can be contacted via phone (704) 376-1605.Contact Information
Primary practice address
225 Baldwin Ave
Charlotte NC 28204
Phone: (704) 376-1605
Fax: (704) 335-8448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102738 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 102738 | North Carolina |
Profile Details
| NPI number | 1700885514 |
|---|---|
| LBN Legal business name | Braccia, Lawrence Henry |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Apr 23rd, 2024 - about 2 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 | 1700885514 | NPPES |
| Other | 970018146 | RAILROAD MEDICARE | |
| MEDICAID | 1700885514 | RAILROAD MEDICARE |
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