Organization
BLOOMINGTON SLEEP SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE C MCBRIDE M.D. (PRACTICE MANAGER)
(812) 332-7337
Entity
Organization
Contact information
Practice address
2920 MCINTYRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
(812) 332-7337
(812) 339-2934
Mailing address
2920 MCINTYRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
(812) 332-7337
(812) 339-2934
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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