Ward, Lawrence O

Ward, Lawrence O is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Ste 101 , Farmington NM 87401-8990. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ward, Lawrence O can be contacted via phone (505) 327-1400.

Contact Information

Primary practice address
2300 E 30Th St Bldg D Ste 101 Farmington NM 87401-8990
Fax: (505) 564-3202
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 304 New Mexico

Profile Details

NPI number 1629029541
LBN Legal business name Ward, Lawrence O
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 6th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629029541 NPPES
Other 00NM005A23 BCBS
MEDICAID 43809545 BCBS
Other 10027964 BCBS

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