Individual
LAWRENCE KOEGEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
477 COOPER RD, SUITE 480, WESTERVILLE, OH 43081-8053
(614) 882-5647
(614) 823-7137
Mailing address
1810 MACKENZIE DR, 2ND FLOOR, COLUMBUS, OH 43220-2967
(614) 273-2234
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35043623K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766130
—
OH
Enumeration date
02/02/2006
Last updated
02/04/2010
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