Provider Demographics
NPI:1336100262
Name:BANDY, LAWRENCE CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:CURTIS
Last Name:BANDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9601 LILE DR
Mailing Address - Street 2:STE 850
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6321
Mailing Address - Country:US
Mailing Address - Phone:501-221-3088
Mailing Address - Fax:501-221-0072
Practice Address - Street 1:9601 LILE DR
Practice Address - Street 2:STE 850
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6321
Practice Address - Country:US
Practice Address - Phone:501-221-3088
Practice Address - Fax:501-221-0072
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE3446207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146951001Medicaid
ARP00069400OtherRR MEDICARE
AR771050401OtherBREAST CARE MEDICAID
AR5M299OtherBCBS
AR5M299C905Medicare PIN
C82694Medicare UPIN