DR. LAWRENCE E MIECZKOWSKI M.D. NPI 1558354951

NPI Information

NPI: 1558354951
Provider Name: DR. LAWRENCE E MIECZKOWSKI, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3080 ACKERMAN BLVD STE 220
KETTERING, OH
ZIP 45429
Phone: (937) 294-3228
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DR. Lawrence E Mieczkowski, M.D. is a specialist in Kettering, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Lawrence E Mieczkowski, M.D. NPI is 1558354951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3080 ACKERMAN BLVD STE 220
KETTERING, OH
ZIP 45429-658
Phone: (937) 294-3228
Fax: (937) 294-3250

The NPI 1558354951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 4/16/2018.

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
1	174400000X	Specialist		OH35-05-2076	OHIO	Yes

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
1	0634819	OTHER	OHIO	AETNA LIFE INSURANCE CO
2	000000020506	OTHER	OHIO	ANTHEM
3	E00311469434	OTHER	OHIO	AETNA
4	0603574	MEDICAID	OHIO
5	04-20157	OTHER	OHIO	UNITEDHEALTHCARE

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

NPI Synchronization or Removal

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