Model, Lawrence M
Model, Lawrence M is an sole proprietor health care provider with primary practice located at 2230 W Atlantic Ave , Delray Beach FL 33445-4637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Model, Lawrence M can be contacted via phone (866) 300-6955.Contact Information
Primary practice address
2230 W Atlantic Ave
Delray Beach FL 33445-4637
Phone: (866) 300-6955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 135753 | New York |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ME137239 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME137239 | Florida |
Profile Details
| NPI number | 1184621054 |
|---|---|
| LBN Legal business name | Model, Lawrence M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Aug 22nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184621054 | NPPES |
| New York | MEDICAID | 00916876 |
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