Brack, Lawrence F
Brack, Lawrence F is an sole proprietor health care provider with primary practice located at 5900 Hillandale Dr Suite 345, Lithonia GA 30058-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brack, Lawrence F can be contacted via phone (770) 987-0733.Contact Information
Primary practice address
5900 Hillandale Dr Suite 345
Lithonia GA 30058-3802
Phone: (770) 987-0733
Fax: (770) 987-3978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 047403 | Georgia |
Profile Details
| NPI number | 1265441315 |
|---|---|
| LBN Legal business name | Brack, Lawrence F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jun 13th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265441315 | NPPES |
| Georgia | MEDICAID | 000898422C |
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