Stewart, Lawrence Edsel

Stewart, Lawrence Edsel is an individual health care provider with primary practice located at 405 Marion Ave , Mccomb MS 39648-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stewart, Lawrence Edsel can be contacted via phone (601) 684-1250.

Contact Information

Primary practice address
405 Marion Ave Mccomb MS 39648-2709
Fax: (601) 684-0129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 11503 Mississippi

Profile Details

NPI number 1447337936
LBN Legal business name Stewart, Lawrence Edsel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 19th, 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 1447337936 NPPES
Mississippi MEDICAID 00015646

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