Provider Demographics
NPI:1811971278
Name:STEIGELMAN, LAWRENCE E (MD)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:STEIGELMAN
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 1:775 POPLAR RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-8300
Mailing Address - Country:US
Mailing Address - Phone:770-400-4510
Mailing Address - Fax:678-423-2737
Practice Address - Street 1:775 POPLAR RD
Practice Address - Street 2:SUITE 120
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-8300
Practice Address - Country:US
Practice Address - Phone:770-400-4510
Practice Address - Fax:678-423-2737
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031135207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00401915AMedicaid
GA00401915AMedicaid
GA16BDSJMMedicare ID - Type Unspecified