Healthcare Provider Details

I. General information

NPI: 1760464044
Provider Name (Legal Business Name): LAWRENCE JAMES SINDEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 AIRPORT BLVD
MOBILE AL
36608-3135
US

IV. Provider business mailing address

PO BOX 7987
MOBILE AL
36670-0987
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-0573
  • Fax: 251-633-7367
Mailing address:
  • Phone: 251-633-0573
  • Fax: 251-633-7367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number11173
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number11173
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: