Gregg, Lawrence J
Gregg, Lawrence J is an individual health care provider with primary practice located at 2121 E 21St St , Tulsa OK 74114-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gregg, Lawrence J can be contacted via phone (918) 749-2261.Contact Information
Primary practice address
2121 E 21St St
Tulsa OK 74114-1409
Phone: (918) 749-2261
Fax: (918) 749-8712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 9455 | Oklahoma |
Profile Details
| NPI number | 1528054467 |
|---|---|
| LBN Legal business name | Gregg, Lawrence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Sep 29th, 2026 - about last week |
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 | 1528054467 | NPPES |
| Other | 876735 | AETNA HMO | |
| Other | 730776171002 | AETNA HMO | |
| Other | 4053536 | AETNA HMO | |
| Other | 9455 | AETNA HMO | |
| MEDICAID | 100116590A | AETNA HMO | |
| Other | 070004141 | AETNA HMO |
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