DR. LAWRENCE EZRA GREEN (NPI# 1558732735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558732735 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE EZRA GREEN |
| Credential | M.D. |
| Practice Address |
27 S Center St Eustis FL 32726-4147 |
| Practice Telephone | 3525896500 |
| Mailing Telephone | 3525896500 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME030276 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104231570 | Lawrence Green | Registered Nurse | 6509 Nw 105th Ave, Alachua, FL 32615-7448 | 2014-06-24 |
| 1609146398 | Lawrence Green | Psychiatry & Neurology | 315 Maple Ave, Swarthmore, PA 19081-1412 | 2012-01-11 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| 1194857136 | Lawrence Green | Family Medicine | 23507 East Riverview Drive, Cookson, OK 74427-2471 | 2007-03-12 |
| 1508939893 | Lawrence Green | Counselor | 94 Diamond Spring Road, Denville, NJ 07834 | 2006-11-16 |
| 1700995412 | Lawrence Green | Orthopaedic Surgery | 1815 W Missouri Ave, 108, Phoenix, AZ 85015-3047 | 2006-08-29 |
| 1386692333 | Lawrence E Green | Psychiatry & Neurology | 16060 Idaho Center Blvd, Nampa, ID 83687 | 2006-05-04 |
| 1073581344 | Lawrence J. Green | Dermatology | 9601 Blackwell Rd Ste 260, Rockville, MD 20850-6487 | 2006-03-10 |
| 1962757666 | Lawrence Green | Non-emergency Medical Transport (VAN) | 810 Dutch Square Blvd, Ste 390 A, Columbia, SC 29210-0000 | 2012-07-18 |
| 1053422162 | Lawrence Kelts Green | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2006-08-31 |
| Street Address |
27 S CENTER ST |
| City | EUSTIS |
| State | FL |
| Zip Code | 32726-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564764 | Infinity Homemaker and Companion Services, LLC | In Home Supportive Care | 27 S Center St, Eustis, FL 32726-4147 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
| 1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
| 1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
| 1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
| 1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
| 1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
| 1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
| 1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
| 1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
| 1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
| Find all providers in zip 32726 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598281016 | Cozad Community Hospital | Family Medicine | 106 E Railroad St, Eustis, NE 69028-3529 | 2017-08-16 |
| 1932568094 | Albert George Eckian | Family Medicine | 1460 Edith St, Eustis, FL 32726-5723 | 2016-02-17 |
| 1255404414 | Findlay Family Practice | Family Medicine | 39 Atwater Ave, Eustis, FL 32726 | 2006-11-16 |
| 1972607349 | Maria Lourdes P Burgos | Family Medicine | 820 E Orange Ave, Eustis, FL 32726-4248 | 2006-09-07 |
| 1215970819 | Charles A Tulley IIi | Family Medicine | 1101 S Eustis St, Eustis, FL 32726-5558 | 2006-06-13 |
| 1861478760 | Flower of The Lake Family Practice, Pa | Family Medicine | 720 N Bay St, Eustis, FL 32726-2964 | 2005-12-22 |
| 1770569675 | Margaret A Hayden | Family Medicine | 1412 S Grove St, Eustis, FL 32726-5530 | 2005-12-22 |
| 1467445221 | Scott A Rodger | Family Medicine | 2200 S Bay St, Suite A, Eustis, FL 32726-6314 | 2005-08-26 |
| 1437156916 | Roger C Roque | Family Medicine | 720 N Bay St Ste 8, Eustis, FL 32726-2964 | 2005-06-30 |
| 1104829316 | Lake Health Care Center Inc | Family Medicine | 910 Mount Homer Rd, Eustis, FL 32726-6258 | 2005-05-23 |
| Find all providers in EUSTIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.