Individual
LAWRENCE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
11072 SYCAMORE GROVE LN, BLUE ASH, OH 45241-6631
(513) 301-3673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086935A
IN
207R00000X
Internal Medicine Physician
Primary
35.123498
OH
207R00000X
Internal Medicine Physician
57019181
OH
207R00000X
Internal Medicine Physician
MD24741
ME
208M00000X
Hospitalist Physician
01086935A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107868
—
OH
Enumeration date
11/14/2011
Last updated
12/15/2022
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