Individual
LAWRENCE NEAL STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4956 WILDERNESS PT, SMITHTON, IL 62285-3664
(618) 473-3618
Mailing address
4956 WILDERNESS PT, SMITHTON, IL 62285-3664
(618) 473-3618
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036087808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087808
—
IL
Enumeration date
06/09/2005
Last updated
04/20/2011
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