Lawrence, Walter Thomas

Lawrence, Walter Thomas is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Lawrence, Walter Thomas can be contacted via phone (319) 384-9961.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1007
Phone: (319) 384-9961
Fax: (319) 353-6511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 04-28457 Kansas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 38784 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 38784 Iowa

Profile Details

NPI number 1508979139
LBN Legal business name Lawrence, Walter Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 25th, 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 1508979139 NPPES
Kansas MEDICAID 100348020A

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