Lawrence W Oholleran Pc

LBN: Lawrence W Oholleran Pc
Lawrence W Oholleran Pc is an health care organization with primary practice located at 1616 E 19Th St Ste 8, Cheyenne WY 82001-4946. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Lawrence W Oholleran Pc can be contacted via phone (307) 637-5600, or through Oholleran, Lawrence William via phone (307) 637-5600.

Contact Information

Primary practice address
1616 E 19Th St Ste 8 Cheyenne WY 82001-4946
Phone: (307) 637-5600
Fax: (307) 637-0249
Website:
Map and Directions
Authorized official contact:
Name: Oholleran, Lawrence William Doctor of Medicine (MD)
Phone: (307) 637-5600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6423A Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X 16963 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 26688 Colorado

Profile Details

NPI number 1649239138
LBN Legal business name Lawrence W Oholleran Pc
DBA Doing business as
Authorized official Oholleran, Lawrence William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Sep 9th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649239138 NPPES
Other COA106329/COA106330 MEDICARE/TRAILBLAZER HEALTH ENTERPRISES
MEDICAID 115489300 MEDICARE/TRAILBLAZER HEALTH ENTERPRISES

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