MEDICARE: DR. LAWRENCE W. MILNE 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
1	208600000X	Surgery Physician	G69307	CA

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	:	1285655399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE W. MILNE MD

Provider Business Mailing Address
First Line	:	7777 GREENBACK LN
Second Line	:	STE. 103
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-5800
Country	:	US
Telephone Number	:	916-835-7777
Fax Number	:	916-560-3320

Provider Business Practice Location Address
First Line	:	7777 GREENBACK LN STE 103
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-5800
Country	:	US
Telephone Number	:	916-835-7777
Fax Number	:	888-420-0067

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	12/05/2023

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