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1518961234

NPI Code Detail

MEDICARE: DR. LAWRENCE C PRICE M.D.

MEDICARE: DR. LAWRENCE C PRICE M.D.

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	207R00000X	Internal Medicine Physician	R-1927	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	110177873	OTHER		RAILROAD MEDICARE

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
2	4614448	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1354120	OTHER	AR	UNITED HEALTHCARE
5	54150	OTHER	AR	BLUE CROSS/BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	12640000000	OTHER	AR	QUALCHOICE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	5668904002	OTHER		CIGNA

General Provider Information

NPI Number	:	1518961234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE C PRICE M.D.

Provider Business Mailing Address
First Line	:	612 S 12TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4702
Country	:	US
Telephone Number	:	479-785-2431
Fax Number	:	479-494-7787

Provider Business Practice Location Address
First Line	:	1301 S E ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72901-4716
Country	:	US
Telephone Number	:	479-785-2431
Fax Number	:	479-494-7787

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. LAWRENCE C PRICE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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