Individual
DR. LAURENCE F GAYNOR
Active
Individual
DR. LAURENCE F GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181338
—
CO
01
—
02555484
NY MEDICAID
NY
01
—
053216001
TX MEDICAID
TX
05
—
100017792
—
WI
05
—
100257090000
—
NE
01
—
104686150
MI MEDICAID
MI
05
—
1336126184
—
IL
05
—
1336126184
—
UT
05
—
1336126184
—
WY
05
—
179782001
—
AR
05
—
200410090A
—
KS
05
—
200424900A
—
OK
05
—
2316265
—
LA
01
—
300049135
RR MCRE RIA
CO
01
—
300089928
RR MCRE MIC
CO
01
—
414545970A
GA MEDICAID
GA
05
—
7100227240
—
KY
05
—
7617666
—
NC
05
—
84-059792913
—
NE
05
—
84073331
—
NM
01
—
922121
AZ MEDICAID
AZ
01
—
XPY201227
CA MEDICAID
CA
Enumeration date
12/22/2005
Last updated
07/07/2014
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