Individual
DR. LAWRENCE THOMAS MOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061609
IL
207R00000X
Internal Medicine Physician
62157
MN
208000000X
Pediatrics Physician
125061609
IL
208000000X
Pediatrics Physician
Primary
62157
MN
Other
Enumeration date
04/05/2012
Last updated
07/21/2022
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