Provider Demographics
NPI:1710962881
Name:PRICHEP, LAWRENCE S (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:S
Last Name:PRICHEP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2000 MEDICAL PKWY STE 306
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3745
Mailing Address - Country:US
Mailing Address - Phone:410-571-9700
Mailing Address - Fax:410-571-9710
Practice Address - Street 1:2000 MEDICAL PKWY STE 306
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3745
Practice Address - Country:US
Practice Address - Phone:410-571-9700
Practice Address - Fax:410-571-9710
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2022-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0020513174400000X
MDD-20513207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD76568Medicare UPIN