Active NPI
Lawrence Daniel Mullany, MD MBA FACP
- Infectious Disease Physician
- Chester, VA
National Provider Identifier
1841749272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 0101257022
- Practice address
- 12272 Declaration Ave
Chester, VA 23836-3057 - Phone
- (941) 779-3793
- NPI assigned
- Sep 27, 2016
- Last updated
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 0101257022 | VA | Primary |
Addresses
Primary practice location
12272 Declaration Ave
Chester, VA 23836-3057
Mailing address
12272 Declaration Ave
Chester, VA 23836-3057
Phone (941) 779-3793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101257022 | VA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1841749272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12272 DECLARATION AVE",
"city": "CHESTER",
"state": "VA",
"postal_code": "238363057",
"telephone_number": "941-779-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12272 DECLARATION AVE",
"city": "CHESTER",
"state": "VA",
"postal_code": "238363057",
"telephone_number": "941-779-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANY",
"first_name": "LAWRENCE",
"middle_name": "DANIEL",
"credential": "MD MBA FACP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "0101257022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.