Wasser, Lawrence J
Wasser, Lawrence J is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wasser, Lawrence J can be contacted via phone (502) 629-6000.Contact Information
Primary practice address
231 E Chestnut St
Louisville KY 40202-1821
Phone: (502) 629-6000
Fax: (502) 852-4989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20466 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20466 | Kentucky |
Profile Details
| NPI number | 1689650061 |
|---|---|
| LBN Legal business name | Wasser, Lawrence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Sep 5th, 2014 - about 12 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 | 1689650061 | NPPES |
| Indiana | MEDICAID | 100463670 | |
| Indiana | MEDICAID | 64204662 |
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