Tkach, Lawrence V

Tkach, Lawrence V is an individual health care provider with primary practice located at 770 Mason St , Vacaville CA 95688-4646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tkach, Lawrence V can be contacted via phone (707) 454-5800.

Contact Information

Primary practice address
770 Mason St Vacaville CA 95688-4646
Fax: (707) 454-5901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G46691 California

Profile Details

NPI number 1164502035
LBN Legal business name Tkach, Lawrence V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 29th, 2015 - about 11 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 1164502035 NPPES
California MEDICAID 00G466910

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