Provider Demographics
NPI:1942276738
Name:COSKEY, LAWRENCE ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ALAN
Last Name:COSKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1750 EL CAMINO REAL STE 307
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3216
Mailing Address - Country:US
Mailing Address - Phone:650-697-5367
Mailing Address - Fax:650-697-3843
Practice Address - Street 1:1750 EL CAMINO REAL STE 307
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3216
Practice Address - Country:US
Practice Address - Phone:650-697-5367
Practice Address - Fax:650-697-3843
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG64409207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF59266Medicare UPIN
00G644090Medicare PIN