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Individual

LAWRENCE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3000 STONEWOOD DR, SUITE 200, WEXFORD, PA 15090-8317
(724) 934-5520
(724) 934-5533
Mailing address
3000 STONEWOOD DR, SUITE 200, WEXFORD, PA 15090-8317
(724) 934-5520
(724) 934-5533

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD010585E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00684030
PA
01
0335399002
CIGNA
PA
01
077398
AETNA
PA
01
102503
102503
PA
01
13567
ELDER HEALTH CARE
PA
01
147808
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/16/2005
Last updated
07/08/2007
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