Dr Lawrence J Powell, DO | |
925 West St, Peru, IL 61354-2757 | |
(815) 223-3300 | |
Not Available |
Full Name | Dr Lawrence J Powell |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 925 West St, Peru, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578535381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | (Illinois) | Primary |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence J Powell, DO 7 Wood Duck Ln, Ottawa, IL 61350-9685 Ph: (815) 434-1111 | Dr Lawrence J Powell, DO 925 West St, Peru, IL 61354-2757 Ph: (815) 223-3300 |
Dr. Matthew Warren Wols, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 | |
Dr. Steven Tyler Cullen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 | |
Kleven H Israelsen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 West St, Peru, IL 61354 Phone: 815-223-3300 Fax: 815-223-3394 |