Brotherton, Lawrence Clay

Brotherton, Lawrence Clay is an individual health care provider with primary practice located at 1725 E 19Th St Suite 800, Tulsa OK 74104-5472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brotherton, Lawrence Clay can be contacted via phone (918) 301-2505.

Contact Information

Primary practice address
1725 E 19Th St Suite 800 Tulsa OK 74104-5472
Phone: (918) 301-2505
Fax: (918) 744-3633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24398 Oklahoma

Profile Details

NPI number 1144218322
LBN Legal business name Brotherton, Lawrence Clay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 26th, 2011 - about 15 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 1144218322 NPPES
Oklahoma Other 730768966 MEDICARE GROUP PIN
Oklahoma MEDICAID 200060600A MEDICARE GROUP PIN

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