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NPI Code Detail

MEDICARE: LAWRENCE KLEIN MD

MEDICARE: LAWRENCE KLEIN 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
1207RC0000XCardiovascular Disease Physician101032577AIN
2207RC0001XClinical Cardiac Electrophysiology Physician01032577AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01248721OTHERINRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1093773467
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE KLEIN MD
Provider Business Mailing Address
First Line : PO BOX 775383
Second Line :
City : CHICAGO
State : IL
Zip : 60677-5383
Country : US
Telephone Number : 812-376-5315
Fax Number :
Provider Business Practice Location Address
First Line : 2325 18TH ST STE 130
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5387
Country : US
Telephone Number : 812-379-2020
Fax Number : 812-378-8267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 09/06/2024

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Directions to “ LAWRENCE KLEIN MD” Practice Location

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