Lawrence L Durisch JR.
Otolaryngologist (ENT Doctor)
91 Overlook Dr
Gainesville
, Georgia 30506-1767
Lawrence L Durisch JR.
Otolaryngologist (ENT Doctor)
91 Overlook Dr
Gainesville
, Georgia 30506-1767
(770) 536-9191
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Lawrence L Durisch JR.
- 91 Overlook Dr
- Gainesville, GA
- Zip : 30506-1767
- Phone : (770) 536-9191
Second Address
- Lawrence L Durisch JR.
- 91 Overlook Dr
- Gainesville, GA
- Zip : 30506-1767
- Phone : (770) 536-9191
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Is Lawrence L Durisch JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 013267 | GA |
National Provider Identifier
| NPI | 1013153758 |
|---|---|
| Provider Name | Lawrence L Durisch JR. |
| First Address | Gainesville, GA 30506-1767 |
| Second Address | Gainesville, GA 30506-1767 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2008 |
| Last Update Date | 31/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D29354 | (02) | GA |
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.