Mcgavin, Lawrence M

Mcgavin, Lawrence M is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mcgavin, Lawrence M can be contacted via phone (330) 480-3658.

Contact Information

Primary practice address
1044 Belmont Ave Youngstown OH 44504-1006
Phone: (330) 480-3658
Fax: (330) 480-3439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.01772-NA Ohio

Profile Details

NPI number 1932150794
LBN Legal business name Mcgavin, Lawrence M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 10th, 2016 - about 10 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 1932150794 NPPES
Ohio Other 8212716 MEDICARE PTAN
Ohio MEDICAID 0858264 MEDICARE PTAN

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