Larson, Lawrence Andrew

Larson, Lawrence Andrew is an individual health care provider with primary practice located at 123 Medical Center Dr , Brunswick ME 04011. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Larson, Lawrence Andrew can be contacted via phone (207) 373-6183.

Contact Information

Primary practice address
123 Medical Center Dr Brunswick ME 04011
Phone: (207) 373-6183
Fax: (207) 373-6178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1806 Maine

Profile Details

NPI number 1598728966
LBN Legal business name Larson, Lawrence Andrew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jul 3rd, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598728966 NPPES
Maine MEDICAID 432015500

Popular Providers