Provider Demographics
NPI:1134294093
Name:DEMPSEY, LAWRENCE CAROLL (MD)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:CAROLL
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 E TUDOR RD # 109
Mailing Address - Street 2:ANCHORAGE
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1185
Mailing Address - Country:US
Mailing Address - Phone:907-333-3475
Mailing Address - Fax:
Practice Address - Street 1:2440 E TUDOR RD # 109
Practice Address - Street 2:ANCHORAGE
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1185
Practice Address - Country:US
Practice Address - Phone:907-333-3475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1512207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD15121Medicaid
AKMD15121Medicaid
C97052Medicare UPIN