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NPI Code Detail

MEDICARE: LAWRENCE G MILLHOFER M.D.

MEDICARE: LAWRENCE G MILLHOFER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician80508MA

General Provider Information

NPI Number : 1033159561
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE G MILLHOFER M.D.
Provider Business Mailing Address
First Line : PO BOX 1413
Second Line :
City : WELLFLEET
State : MA
Zip : 02667
Country : US
Telephone Number : 508-240-0208
Fax Number : 508-240-0499
Provider Business Practice Location Address
First Line : 3130 STATE HWY
Second Line : ROUTE 6
City : WELLFLEET
State : MA
Zip : 02667-7402
Country : US
Telephone Number : 508-349-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 12/08/2011

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