Individual
LAWRENCE WAYNE MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1050 REID PKWY STE 210, REID NEUROLOGY ASSOCIATES, RICHMOND, IN 47374-1160
(765) 939-7711
(765) 939-1841
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 939-7711
(765) 939-1841
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02003265A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000983438
ANTHEM
IN
05
—
201339470
—
IN
Enumeration date
06/16/2007
Last updated
05/17/2021
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