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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1518068923 | NPPES |
| Massachusetts | MEDICAID | 0391786 |
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