Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | 13175 | SC |
NPI | 1215907001 |
---|---|
Provider Name | Dr. Lawrence Edward Klein |
First Address | Toledo, OH 43614-1509 |
Second Address | Columbia, SC 29203-9344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 07/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
131752 | (05) | SC |
C49466 | (02) | SC |