MEDICARE: MR. LAWRENCE MICHAEL HARKINS DMD

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	122300000X	Dentist	DN11605	FL

General Provider Information

NPI Number	:	1326161373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAWRENCE MICHAEL HARKINS DMD

Provider Business Mailing Address
First Line	:	3364 BRIAN S RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2105
Country	:	US
Telephone Number	:	727-781-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	3410 E LAKE RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2401
Country	:	US
Telephone Number	:	727-784-6700
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	01/14/2016

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