Dr. Lawrence M Gilliard
Pulmonary Disease
925 N Spring Garden Ave
DeLand
, Florida 32720
Dr. Lawrence M Gilliard
Pulmonary Disease
925 N Spring Garden Ave
DeLand
, Florida 32720
(386) 917-0335
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Lawrence M Gilliard
- 606 S Lake Victoria Cir
- Deland, FL
- Zip : 32724-7718
- Fax : (386) 917-0335
- Phone : (407) 222-1645
Second Address
- Dr. Lawrence M Gilliard
- 925 N Spring Garden Ave
- Deland, FL
- Zip : 32720
- Fax : (386) 740-7649
- Phone : (386) 734-0348
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | ME37633 | FL |
National Provider Identifier
| NPI | 1043211220 |
|---|---|
| Provider Name | Dr. Lawrence M Gilliard |
| First Address | Deland, FL 32724-7718 |
| Second Address | Deland, FL 32720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 26/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0670065-00 | (05) | FL |
| 4122666 | AETNA HMO (01) | FL |
| 59286 | BC BS PROVIDER NUMBER (01) | FL |
| 593708866 | TAX ID (01) | FL |
| D57058 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.