Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 40406 | WI |
Y | 204F00000X | Transplant Surgeon | ME97888 | FL |
N | 208200000X | Surgeon | ME97888 | FL |
N | 208600000X | Surgeon | ME97888 | FL |
NPI | 1205891983 |
---|---|
Provider Name | Lawrence Thomas Chin |
First Address | Orlando, FL 32804-5521 |
Second Address | Orlando, FL 32804-5521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32612900 | (05) | WI |
H06002 | (02) |