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LAWRENCE LEA COCKROFT GILLILAND M.D. NPI 1912109018


NPI Information

NPI: 1912109018
Provider Name: LAWRENCE LEA COCKROFT GILLILAND, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3850 S NATIONAL AVE
SUITE 300
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-6170
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Lawrence Lea Cockroft Gilliland, M.D. is a diagnostic radiology radiology in Springfield, MO with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Lawrence Lea Cockroft Gilliland, M.D. NPI is 1912109018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

3850 S NATIONAL AVE
SUITE 300
SPRINGFIELD, MO
ZIP 65807-287
Phone: (417) 269-6170
Fax: (417) 269-6992

The NPI 1912109018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)

The enumeration date for this NPI number is 6/1/2007 and was last updated on 3/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology0101247434VIRGINIANo
22085R0202XRadiologyDiagnostic Radiology2011017818MISSOURINo
32085U0001XRadiologyDiagnostic Ultrasound390200000XTENNESSEENo
42085R0202XRadiologyDiagnostic Radiology72242GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.