Lawrence Green, RN

Primary specialty

Gastroenterology Registered NurseTaxonomy code 163WG0100X

License

9344187 Issued in FL

Practice address

6509 NW 105TH Ave
Alachua, FL 32615-7448

Phone

(909) 659-8184

NPI assigned

Jun 24, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1104231570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 NW 105TH AVE",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157448",
            "telephone_number": "909-659-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 NW 105TH AVE",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157448",
            "telephone_number": "909-659-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LAWRENCE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "FL",
            "license": "9344187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gerard
• Leah Melisa Gibson, NURSE PRACTITIONER
• Lanell Gordon
• Norman Victor Grachis
• Julie R Graham, ARNP
• Elizabeth Jane Griseck
• Hancock-Smith Pediatric & Behavioral Health, LLC
• Anyaliese Dominique Hancock-Smith, PH.D.
• Teresa Mauricio Hancock
• Cora Whitney Hannon, M.D.

• Gastroenterology Registered Nurse in Alachua, FL
• Providers in Alachua, FL by specialty
• Gastroenterology Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.