Dr. Lawrence Nathan Sampson
Vascular Surgeon
1 Guthrie Sq
Sayre
, Pennsylvania 18840-1625
Dr. Lawrence Nathan Sampson
Vascular Surgeon
1 Guthrie Sq
Sayre
, Pennsylvania 18840-1625
(570) 888-5858
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lawrence Nathan Sampson
- 1 Guthrie Sq
- Sayre, PA
- Zip : 18840-1625
- Phone : (570) 888-5858
Second Address
- Dr. Lawrence Nathan Sampson
- 1 Guthrie Sq
- Sayre, PA
- Zip : 18840-1625
- Phone : (570) 888-5858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0129X | Vascular Surgeon | 205449-1 | NY |
| Y | 2086S0129X | Vascular Surgeon | MD056226L | PA |
National Provider Identifier
| NPI | 1053385583 |
|---|---|
| Provider Name | Dr. Lawrence Nathan Sampson |
| First Address | Sayre, PA 18840-1625 |
| Second Address | Sayre, PA 18840-1625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2006 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0015361120001 | (05) | PA |
| 01575699 | (05) | NY |
| 770002511 | RR MEDICARE PIN (01) | PA |
| CC8362 | RR MEDICARE GROUP (01) | NY |
| CC9269 | RR MEDICARE GROUP (01) | PA |
| G08885 | (02) | |
| GU039818 | PA MEDICARE GROUP (01) | PA |
| P00313956 | RR MEDICARE PIN (01) | NY |
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.