Lawrence J Leader in Hattiesburg - Cardiovascular Disease

Lawrence J Leader - NPI 1508970211

Lawrence J Leader is a Cardiovascular Disease in Hattiesburg, Mississippi. Lawrence J Leader practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Lawrence J Leader is 1508970211. The last update date is 2020-07-20.

Lawrence J Leader's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012963399 and fax number 6015795240. The mailing address for Lawrence J Leader is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence J Leader
Address 415 S 28th Ave, Hattiesburg, Mississippi
Phone Number 6012963399
Fax Number 6015795240
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1508970211
Provider Enumeration Date 2006-08-18
Last Updated Date 2020-07-20

Provider Mailing Address Detail

Address 415 S 28th Ave
City Hattiesburg
State Mississippi (MS)
Post Code 394017246
Phone Number 6012963399
Fax Number 6015795240

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 14515
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
115279 MS --
640507572YR MS AMERICAN ADMIN GROUP
1779539 LA --

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FAQs about Lawrence J Leader

What is the unique 10-digit identifier code assigned to Lawrence J Leader by the Centers for Medicare & Medicaid Services?

The Lawrence J Leader has been issued the NPI (National Provider Identifier) 1508970211 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Lawrence J Leader is physically located?

The Lawrence J Leader is physically situated at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.

What is Lawrence J Leader's area of expertise and its corresponding taxonomy classification?

The Lawrence J Leader's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1508970211 to Lawrence J Leader?

The Lawrence J Leader received its 1508970211 assignment from the Centers for Medicare & Medicaid Services on 2006-08-18.

When was the information related to Lawrence J Leader most recently updated or refreshed?

The details pertaining to the Lawrence J Leader, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-07-20.

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