Gardner, Lawrence
Gardner, Lawrence is an sole proprietor health care provider with primary practice located at 88 Red Pine Est , Morrisville VT 05661-8580. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gardner, Lawrence can be contacted via phone (804) 937-8458.Contact Information
Primary practice address
88 Red Pine Est
Morrisville VT 05661-8580
Phone: (804) 937-8458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0890074988 | Vermont |
Profile Details
| NPI number | 1619991684 |
|---|---|
| LBN Legal business name | Gardner, Lawrence |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jun 14th, 2016 - about 10 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 | 1619991684 | NPPES |
| Virginia | MEDICAID | 010297842 | |
| Virginia | MEDICAID | 010038065 | |
| Virginia | MEDICAID | 010169062 |
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