Lawrence J Green, MD LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

D50346 Issued in MD

Legal business name

LAWRENCE J GREEN, MD LLC

Practice address

15005 Shady Grove Rd
Suie 440
Rockville, MD 20850-6340

Phone

(301) 610-0663

Fax

(301) 610-5420

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence J Green, MDNPI 1073581344

Title

Physician

Phone

(301) 610-0663

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence J. Green, MD

  • Procedural Dermatology Physician
  • Rockville, MD
  • NPI 1073581344
  NPD (past) Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1144233289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-610-0663",
            "fax_number": "301-610-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUIE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-610-0663",
            "fax_number": "301-610-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J GREEN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-610-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D50346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5802523",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE",
            "identifier": "258278",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4281-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talia Lawhorn
• Sabrina Lawing
• Segun Lawole
• Lawrence Frank, MD
• Vincent Lawrence II
• Christion Lawrence-Martinez
• Josiah Lawrence
• Krystal Lawrence
• Makeba Lawrence
• Paula Lawrence

• Procedural Dermatology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Procedural Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.