Lawrence Corcoran, RPH
Individual provider Active NPI Pharmacist · Leonard, TX
NPI 1902416746 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1902416746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 52344 (TX)
- Practice address
- 122 W Collin St
Leonard, TX 75452 - Phone
- (903) 587-3363
- NPI assigned
- Aug 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52344 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kegan'S Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52344 | TX | Yes |
Addresses
Primary practice location
122 W Collin St
Leonard, TX 75452
Mailing address
144 Red Rd
Howe, TX 75459-3604
Other providers in Leonard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.