Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 41594 | MN |
N | 2084N0400X | Neurologist | 41594 | MN |
Y | 2084N0402X | Child Neurologist | 41594 | MN |
NPI | 1063449932 |
---|---|
Provider Name | Dr. Lawrence Richard Charnas |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 25/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000918541X | (05) | GA |
0051816 | (05) | MT |
05-00009 | MEDICA PRIMARY (01) | MN |
05-00109 | MEDICA CHOICE (01) | MN |
0531574 | (05) | IA |
1025053 | PREFERRED ONE (01) | MN |
126488 | UCARE (01) | MN |
2087310201 | (05) | KS |
236273 | ARAZ (01) | MN |
34011800 | (05) | WI |
41R80CH | BCBS (01) | MN |
562482700 | (05) | MN |
64036122 | (05) | KY |
B68865 | (02) | MN |
HP28906 | HEALTHPARTNERS (01) | MN |