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NPI Code Detail

MEDICARE: LAWRENCE GERARD GREENE

MEDICARE:   LAWRENCE GERARD GREENE
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
1101Y00000XCounselorOK

General Provider Information

NPI Number : 1891467346
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE GERARD GREENE
Provider Business Mailing Address
First Line : 2307 N THOMPKINS AVE APT S2
Second Line :
City : BETHANY
State : OK
Zip : 73008-5334
Country : US
Telephone Number : 405-747-6878
Fax Number :
Provider Business Practice Location Address
First Line : 3818 N PENNSYLVANIA AVE APT 203
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7585
Country : US
Telephone Number : 405-747-6878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2021
Last Update Date : 11/18/2025

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Directions to “ LAWRENCE GERARD GREENE ” Practice Location

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