MEDICARE: LAWRENCE MCNAMEE 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
1	2085R0202X	Diagnostic Radiology Physician	036097589	IL

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

General Provider Information

NPI Number	:	1326094228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE MCNAMEE M.D.

Provider Business Mailing Address
First Line	:	26550 PRIMROSE LN
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-5490
Country	:	US
Telephone Number	:	216-373-1043
Fax Number	:	216-333-1188

Provider Business Practice Location Address
First Line	:	18777 LOOKOUT CIR
Second Line	:
City	:	FAIRVIEW PARK
State	:	OH
Zip	:	44126-1713
Country	:	US
Telephone Number	:	440-210-6231
Fax Number	:	440-331-1176

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	04/30/2013

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