Dr Lawrence Marshall Riddles, MD is a
Surgery physician based in Scott Afb, Illinois. Dr Lawrence Marshall Riddles is licensed to practice in New York (license number 159883-1) and his current practice location is 310 W Losey St, Scott Afb, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 256-7456.
NPI number for Dr Lawrence Marshall Riddles is 1356337638 and his current mailing address is 187 Pow Mia Dr, Scott Afb, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356337638.
Physician's Profile
Full Name | Dr Lawrence Marshall Riddles |
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Gender | Male |
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Speciality | Surgery |
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Location | 310 W Losey St, Scott Afb, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356337638
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Lawrence Marshall Riddles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356337638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 159883-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lawrence Marshall Riddles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lawrence Marshall Riddles, MD 187 Pow Mia Dr, Scott Afb, IL 62225-1750 Ph: (618) 256-7456 | Dr Lawrence Marshall Riddles, MD 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-7456 |
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