Peavler, Lawrence Dwayne

Peavler, Lawrence Dwayne is an individual health care provider with primary practice located at 449 W 23Rd St , Panama City FL 32405-4507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peavler, Lawrence Dwayne can be contacted via phone (850) 747-7900.

Contact Information

Primary practice address
449 W 23Rd St Panama City FL 32405-4507
Phone: (850) 747-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101232 Florida

Profile Details

NPI number 1902848815
LBN Legal business name Peavler, Lawrence Dwayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 3rd, 2009 - about 17 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 1902848815 NPPES
Florida MEDICAID 292429100

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