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NPI Code Detail

MEDICARE: LAWRENCE WAYNE MCMILLION D.O.

MEDICARE: LAWRENCE WAYNE MCMILLION D.O.
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
12084N0400XNeurology Physician02003265AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000983438OTHERINANTHEM

General Provider Information

NPI Number : 1518162940
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE WAYNE MCMILLION D.O.
Provider Business Mailing Address
First Line : 1100 REID PKWY
Second Line : MEDICAL STAFF SERVICES
City : RICHMOND
State : IN
Zip : 47374-1157
Country : US
Telephone Number : 765-939-7711
Fax Number : 765-939-1841
Provider Business Practice Location Address
First Line : 1050 REID PKWY STE 210
Second Line : REID NEUROLOGY ASSOCIATES
City : RICHMOND
State : IN
Zip : 47374-1160
Country : US
Telephone Number : 765-939-7711
Fax Number : 765-939-1841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2007
Last Update Date : 05/17/2021

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1467756163 — MS. VICTORIA OSAYI CNP
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Directions to “ LAWRENCE WAYNE MCMILLION D.O.” Practice Location

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