Phillips, Lawrence A

Phillips, Lawrence A is an sole proprietor health care provider with primary practice located at 40 Brattle St , Cambridge MA 02138-3712. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Phillips, Lawrence A can be contacted via phone (617) 547-3310.

Contact Information

Primary practice address
40 Brattle St Cambridge MA 02138-3712
Phone: (617) 547-3310
Fax: (617) 547-3313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X MA3642 Massachusetts

Profile Details

NPI number 1518068923
LBN Legal business name Phillips, Lawrence A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 9th, 2007 - about 19 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 1518068923 NPPES
Massachusetts MEDICAID 0391786

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