Lark, Thomas Lawrence

Lark, Thomas Lawrence is an individual health care provider with primary practice located at 8800 W Emerald St , Boise ID 83704-8205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lark, Thomas Lawrence can be contacted via phone (208) 373-5000.

Contact Information

Primary practice address
8800 W Emerald St Boise ID 83704-8205
Phone: (208) 373-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M7000 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M7000 Idaho

Profile Details

NPI number 1609818699
LBN Legal business name Lark, Thomas Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 29th, 2007 - about 18 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 1609818699 NPPES
Oregon MEDICAID 022753

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