Coots, Lawrence Ernest

Coots, Lawrence Ernest is an individual health care provider with primary practice located at 1893 Kingsley Ave Ste C, Orange Park FL 32073-4491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Coots, Lawrence Ernest can be contacted via phone (904) 276-2044.

Contact Information

Primary practice address
1893 Kingsley Ave Ste C Orange Park FL 32073-4491
Phone: (904) 276-2044
Fax: (904) 276-2106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME77495 Florida

Profile Details

NPI number 1972513513
LBN Legal business name Coots, Lawrence Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 23rd, 2012 - about 14 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 1972513513 NPPES
Florida MEDICAID 256251100

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