Lawrence, Walter J

Lawrence, Walter J is an sole proprietor health care provider with primary practice located at 551 Glover Ave , Enterprise AL 36330-2041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lawrence, Walter J can be contacted via phone (334) 475-2058.

Contact Information

Primary practice address
551 Glover Ave Enterprise AL 36330-2041
Fax: (334) 489-4308
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25503 Alabama

Profile Details

NPI number 1124067632
LBN Legal business name Lawrence, Walter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Mar 17th, 2018 - about 8 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 1124067632 NPPES
Alabama MEDICAID 009975885
Alabama Other 51000284

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