MEDICARE: LAWRENCE COLLINS 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	207L00000X	Anesthesiology Physician	004881L	PA

General Provider Information

NPI Number	:	1407847148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE COLLINS DO

Provider Business Mailing Address
First Line	:	804 SCOTT NIXON MEMORIAL DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-2464
Country	:	US
Telephone Number	:	800-394-4445
Fax Number	:	706-650-1034

Provider Business Practice Location Address
First Line	:	4727 FRIENDSHIP AVE
Second Line	:	SUITE 240
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1779
Country	:	US
Telephone Number	:	412-235-5877
Fax Number	:

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	12/05/2008

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Directions to “ LAWRENCE COLLINS DO” Practice Location

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