Individual
LAWRENCE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 18TH ST STE 130, COLUMBUS, IN 47201-5387
(812) 379-2020
(812) 378-8267
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101032577A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01032577A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226360
—
IN
01
—
P01248721
RAILROAD MEDICARE
IN
Enumeration date
05/03/2006
Last updated
09/06/2024
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