Carlson, Lawrence Douglas
Carlson, Lawrence Douglas is an individual health care provider with primary practice located at 3001 Daggett Ave Ste 101 , Klamath Falls OR 97601-1126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Carlson, Lawrence Douglas can be contacted via phone (541) 884-6233.Contact Information
Primary practice address
3001 Daggett Ave Ste 101
Klamath Falls OR 97601-1126
Phone: (541) 884-6233
Fax: (541) 880-2840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G62984 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G62984 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD209372 | Oregon |
Profile Details
| NPI number | 1639188972 |
|---|---|
| LBN Legal business name | Carlson, Lawrence Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Nov 4th, 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 | 1639188972 | NPPES |
| California | Other | 00G629840 | BLUE CROSS BLUE SHIELD |
| California | MEDICAID | 00G629840 | BLUE CROSS BLUE SHIELD |
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