Leake, Lawrence A.

Leake, Lawrence A. is an individual health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581-5301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Leake, Lawrence A. can be contacted via phone (228) 809-5000.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581-5301
Phone: (228) 809-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MS13594 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13594 Mississippi

Profile Details

NPI number 1124179767
LBN Legal business name Leake, Lawrence A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jan 11th, 2021 - about 4 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 1124179767 NPPES
Alabama MEDICAID 009926475
Alabama Other 646000515
Alabama MEDICAID 00112590
Alabama Other 646000515
Alabama Other 930026898

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