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NPI Code Detail

MEDICARE: DR. MARIUS LAURINAITIS M.D.

MEDICARE: DR. MARIUS LAURINAITIS 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
1207R00000XInternal Medicine Physician4301071796MI
2208M00000XHospitalist PhysicianME118114FL
3208M00000XHospitalist Physician4301071796MI
4207R00000XInternal Medicine PhysicianME118114FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11639174212OTHERMINPI #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
370-0-F32947-0OTHERMIBCBS CPIN #
4ML071796OTHERMIBCBSM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639174212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIUS LAURINAITIS M.D.
Provider Business Mailing Address
First Line : PO BOX 45443
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84145-0443
Country : US
Telephone Number : 904-202-1032
Fax Number : 904-376-4107
Provider Business Practice Location Address
First Line : 820 PRUDENTIAL DR STE 304
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8205
Country : US
Telephone Number : 904-202-3860
Fax Number : 904-202-3846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 02/04/2019

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