Lawrence, Stuart Alan

Lawrence, Stuart Alan is an individual health care provider with primary practice located at 2400 S.W. Vermont St. , Portland OR 97219-1940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lawrence, Stuart Alan can be contacted via phone (503) 452-0915.

Contact Information

Primary practice address
2400 S.W. Vermont St. Portland OR 97219-1940
Phone: (503) 452-0915
Fax: (503) 768-9232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 9348 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD09348 Oregon

Profile Details

NPI number 1194716837
LBN Legal business name Lawrence, Stuart Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 30th, 2010 - about 15 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 1194716837 NPPES
Oregon MEDICAID 004861

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