Lawrence Wiggins in Zion - Physician Assistant
Lawrence Wiggins - NPI 1104897974
Lawrence Wiggins is a Physician Assistant in Zion, Illinois. Lawrence Wiggins practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lawrence Wiggins is 1104897974. The last update date is 2007-07-09.
Lawrence Wiggins's current location address is 2520 Elisha Ave, Zion, Illinois. You can contact this provider via phone number 8478724561. The mailing address for Lawrence Wiggins is 2520 Elisha Ave, Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Wiggins |
|---|---|
| Address | 2520 Elisha Ave, Zion, Illinois |
| Phone Number | 8478724561 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1104897974 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2520 Elisha Ave |
|---|---|
| City | Zion |
| State | Illinois (IL) |
| Post Code | 600992676 |
| Phone Number | 8478724561 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Lawrence Wiggins by the Centers for Medicare & Medicaid Services?
The Lawrence Wiggins has been issued the NPI (National Provider Identifier) 1104897974, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lawrence Wiggins's facilities are geographically located?
The facilities of Lawrence Wiggins are physically situated at the following location: 2520 Elisha Ave, Zion, IL, 600992676.
What is Lawrence Wiggins's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lawrence Wiggins is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104897974 to Lawrence Wiggins?
The Centers for Medicare & Medicaid Services assigned the 1104897974 to Lawrence Wiggins on 2006-01-30.
When was the information regarding Lawrence Wiggins most recently updated?
The details pertaining to the Lawrence Wiggins, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1720081763
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