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1205891983

NPI Code Detail

MEDICARE: LAWRENCE THOMAS CHIN MD

MEDICARE: LAWRENCE THOMAS CHIN MD

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
1	208600000X	Surgery Physician	ME97888	FL
2	204F00000X	Transplant Surgery Physician	40406	WI
3	204F00000X	Transplant Surgery Physician	ME97888	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205891983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE THOMAS CHIN MD

Provider Business Mailing Address
First Line	:	2415 N ORANGE AVE STE 700
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5521
Country	:	US
Telephone Number	:	407-303-2474
Fax Number	:	407-303-0680

Provider Business Practice Location Address
First Line	:	2415 N ORANGE AVE STE 700
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5521
Country	:	US
Telephone Number	:	407-303-2474
Fax Number	:	407-303-0680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	12/04/2020

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Directions to “ LAWRENCE THOMAS CHIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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