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NPI Code Detail

MEDICARE: DR. LAWRENCE MARTIN PORTER MD

MEDICARE: DR. LAWRENCE MARTIN PORTER MD
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
1207P00000XEmergency Medicine Physician35-04-9239-POH
2207R00000XInternal Medicine Physician35.049239OH

Other Identifiers

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

General Provider Information

NPI Number : 1689603995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE MARTIN PORTER MD
Provider Business Mailing Address
First Line : 5264 LEE RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1232
Country : US
Telephone Number : 216-294-4440
Fax Number : 216-249-6032
Provider Business Practice Location Address
First Line : 5264 LEE RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1232
Country : US
Telephone Number : 216-294-4440
Fax Number : 216-249-6032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 08/11/2022

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Directions to “ DR. LAWRENCE MARTIN PORTER MD” Practice Location

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