Smith, Lawrence J

Smith, Lawrence J is an individual health care provider with primary practice located at 3401 Conifer Dr , Springfield IL 62711-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smith, Lawrence J can be contacted via phone (217) 726-0967.

Contact Information

Primary practice address
3401 Conifer Dr Springfield IL 62711-8300
Phone: (217) 726-0967
Fax: (217) 726-7633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036-083903 Illinois

Profile Details

NPI number 1457323669
LBN Legal business name Smith, Lawrence J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Mar 7th, 2023 - about 3 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 1457323669 NPPES
Illinois Other 336-046165 IL CONTROLLED SUBSTANCE
Illinois Other 390002195 IL CONTROLLED SUBSTANCE
Illinois MEDICAID 036-083903 IL CONTROLLED SUBSTANCE
Illinois Other 036083903 IL CONTROLLED SUBSTANCE
Illinois Other 175974 IL CONTROLLED SUBSTANCE
Illinois Other 44761 IL CONTROLLED SUBSTANCE

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