Healthcare Provider Details

I. General information

NPI: 1952360307
Provider Name (Legal Business Name): LAWRENCE PAUL MCCHESNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 SW HIGHWAY 200
OCALA FL
34476-9210
US

IV. Provider business mailing address

6907 SW HIGHWAY 200
OCALA FL
34476-9210
US

V. Phone/Fax

Practice location:
  • Phone: 352-300-3636
  • Fax: 352-624-8722
Mailing address:
  • Phone: 352-300-3636
  • Fax: 352-624-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number043891
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number043891
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number36943
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number36943
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number36943
License Number StateIA
# 6
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME105261
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: