R. LAWRENCE MAGRUDER MD PLLC NPI 1245400779

NPI Information

  • NPI: 1245400779
  • Provider Name: R. LAWRENCE MAGRUDER, MD PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: LAKESIDE FAMILY PRACTICE
  • Address: 6800 HERITAGE PKWY
    SUITE 102
    ROCKWALL, TX
    ZIP 75087
  • Phone: (972) 463-2991

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NPI Details

R. LAWRENCE MAGRUDER, MD PLLC is a family medicine in Rockwall, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R. LAWRENCE MAGRUDER, MD PLLC NPI is 1245400779. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lakeside Family Practice.

The provider's business location address is:

6800 HERITAGE PKWY
SUITE 102
ROCKWALL, TX
ZIP 75087-746
Phone: (972) 463-2991
Fax: (942) 463-2997

The provider's authorized official is Robert Lawrence Magruder .
The authorized official title is Owner and has the following contact phone number (972) 463-2991.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 3/12/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG5325TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100980WMEDICARE PINTEXAS
200980WOTHERTEXASPTAM
3100200MEDICAIDTEXAS

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: 3/30/2025

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