Individual
LAWRENCE HASTINGS SCHOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2580 MICHIGAN RD, SUITE 2, MADISON, IN 47250-2491
(812) 265-6222
(866) 879-4830
Mailing address
122 ELMHURST LN, MADISON, IN 47250-2912
(812) 273-2860
(866) 879-4830
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
01055597A
IN
207W00000X
Ophthalmology Physician
01055597A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200379700
—
IN
Enumeration date
09/09/2005
Last updated
09/12/2019
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