Mollo, Lawrence Thomas
Mollo, Lawrence Thomas is an sole proprietor health care provider with primary practice located at 12142 Business Park Blvd N , Champlin MN 55316-4525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mollo, Lawrence Thomas can be contacted via phone (952) 977-0500.Contact Information
Primary practice address
12142 Business Park Blvd N
Champlin MN 55316-4525
Phone: (952) 977-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 62157 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125061609 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125061609 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 62157 | Minnesota |
Profile Details
| NPI number | 1508122334 |
|---|---|
| LBN Legal business name | Mollo, Lawrence Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2012 |
| Last updated | Jul 21st, 2022 - 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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