Provider Demographics
NPI:1518942275
Name:BELL, LAWRENCE DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DAVID
Last Name:BELL
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 1:4165 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45807-2240
Mailing Address - Country:US
Mailing Address - Phone:419-905-6659
Mailing Address - Fax:
Practice Address - Street 1:4165 W ELM ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-2240
Practice Address - Country:US
Practice Address - Phone:419-905-6659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031394E207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001613171OtherBLUE CROSS/BLUE SHIELD
PA86012OtherGEISINGER
OHP00824571OtherRAILROAD MEDICARE
OH0757962Medicaid
PA096998001Medicaid
PA096998001Medicaid
PA86012OtherGEISINGER
PA86012OtherGEISINGER