MEDICARE: DR. LAWRENCE W KLEIN DO

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	207RN0300X	Nephrology Physician	34002780	OH

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	:	1134192800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE W KLEIN DO

Provider Business Mailing Address
First Line	:	7700 WASHINGTON VILLAGE DR
Second Line	:	SUITE 220
City	:	DAYTON
State	:	OH
Zip	:	45459
Country	:	US
Telephone Number	:	937-438-0099
Fax Number	:	937-438-0902

Provider Business Practice Location Address
First Line	:	7700 WASHINGTON VILLAGE DR
Second Line	:	SUITE 230
City	:	DAYTON
State	:	OH
Zip	:	45459
Country	:	US
Telephone Number	:	937-438-3132
Fax Number	:	937-438-8707

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	11/13/2013

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