Brenner, Laurence Harvey
Brenner, Laurence Harvey is an sole proprietor health care provider with primary practice located at 3030 Harden Blvd , Lakeland FL 33803-7952. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Brenner, Laurence Harvey can be contacted via phone (863) 687-1250.Contact Information
Primary practice address
3030 Harden Blvd
Lakeland FL 33803-7952
Phone: (863) 687-1250
Fax: (863) 687-1258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME91864 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME91864 | Florida |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | ME91864 | Florida |
Profile Details
| NPI number | 1306894753 |
|---|---|
| LBN Legal business name | Brenner, Laurence Harvey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 30th, 2022 - about 4 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 | 1306894753 | NPPES |
| Florida | Other | K7473 | MEDICARE GROUP PROVIDER |
| Florida | MEDICAID | 274526700 | MEDICARE GROUP PROVIDER |
| Florida | Other | 52154A | MEDICARE GROUP PROVIDER |
| Florida | Other | 6137800001 | MEDICARE GROUP PROVIDER |
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