Lawrence, Jeffrey H

Lawrence, Jeffrey H is an individual health care provider with primary practice located at 390 S Main St Suite 201, Rocky Mount VA 24151-1766. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lawrence, Jeffrey H can be contacted via phone (540) 484-4800.

Contact Information

Primary practice address
390 S Main St Suite 201 Rocky Mount VA 24151-1766
Phone: (540) 484-4800
Fax: (540) 484-4862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-840481 Virginia

Profile Details

NPI number 1235110875
LBN Legal business name Lawrence, Jeffrey H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Aug 18th, 2021 - about 5 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 1235110875 NPPES
Virginia MEDICAID 8918520

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