Womack, Lawrence H

Womack, Lawrence H is an sole proprietor health care provider with primary practice located at 400 Montauk Hwy Suite #111, West Islip NY 11795-4429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Womack, Lawrence H can be contacted via phone (631) 277-0051.

Contact Information

Primary practice address
400 Montauk Hwy Suite #111 West Islip NY 11795-4429
Phone: (631) 277-0051
Fax: (631) 277-2690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223075 New York

Profile Details

NPI number 1487659629
LBN Legal business name Womack, Lawrence H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Sep 30th, 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 1487659629 NPPES
New York Other 3298766 AETNA/US HEALTHCARE
New York Other 421680216 AETNA/US HEALTHCARE
New York Other 153114 AETNA/US HEALTHCARE
New York Other P2912790 AETNA/US HEALTHCARE
New York MEDICAID 02214588 AETNA/US HEALTHCARE
New York Other P00165433 AETNA/US HEALTHCARE

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