Provider Demographics
NPI:1134471840
Name:LAWRENCE LABBATE MD PLLC
Entity Type:Organization
Organization Name:LAWRENCE LABBATE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LABBATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-223-9948
Mailing Address - Street 1:4100 S LOOKOUT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2030
Mailing Address - Country:US
Mailing Address - Phone:501-223-9948
Mailing Address - Fax:501-223-2941
Practice Address - Street 1:4100 S LOOKOUT ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2030
Practice Address - Country:US
Practice Address - Phone:501-223-9948
Practice Address - Fax:501-223-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty