Lawrence Milne MD Inc
Organization Active NPI Surgery Physician · Citrus HTS, CA
NPI 1578956207 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1578956207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- LAWRENCE MILNE MD INC
- Practice address
- 7777 Greenback LN Ste 103
Citrus HTS, CA 95610-5800 - Phone
- (916) 835-7777
- Fax
- (888) 420-0067
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Lawrence Milne, MD
- Title
- President
- Phone
- (916) 835-7777
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150526000997 | CA | Part B Supplier - Clinic/Group Practice | 8527388941 |
Receives reassigned benefits from 1 practitioner Practice locations: Castro Valley, CA; Citrus Heights, CA; Concord, CA; Danville, CA; Oakland, CA; Pleasanton, CA |
National Provider Directory
Locations
2272 Bacon St
Concord, CA 94520
Phone (510) 581-1484
2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes | ||
| Vascular Surgery Physician |
2086S0129X |
Addresses
Primary practice location
7777 Greenback LN Ste 103
Citrus HTS, CA 95610-5800
Mailing address
7777 Greenback LN Ste 103
Citrus HTS, CA 95610-5800
Phone (916) 835-7777
Other providers in Citrus HTS, CA
All providers in Citrus HTS, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.