Provider Demographics
NPI:1477506160
Name:NARKIEWICZ, LAWRENCE S (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:S
Last Name:NARKIEWICZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3844 S LINDBERGH BLVD.
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127
Mailing Address - Country:US
Mailing Address - Phone:314-698-2500
Mailing Address - Fax:314-698-2323
Practice Address - Street 1:3844 S. LINDBERGH BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127
Practice Address - Country:US
Practice Address - Phone:314-698-2500
Practice Address - Fax:314-698-2323
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2011-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOMD32658207R00000X
MO32658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10854Medicare UPIN