LAWRENCE ROY DULTZ M.D. NPI 1255448916

NPI Information

NPI: 1255448916
Provider Name: LAWRENCE ROY DULTZ, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1429 N 6TH ST
TERRE HAUTE, IN
ZIP 47807
Phone: (812) 242-3109
Get Directions

Lawrence Roy Dultz, M.D. is a pulmonary disease internal medicine in Terre Haute, IN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Lawrence Roy Dultz, M.D. NPI is 1255448916. 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:

1429 N 6TH ST
TERRE HAUTE, IN
ZIP 47807-037
Phone: (812) 242-3109
Fax: (812) 242-3990

The NPI 1255448916 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 enumeration date for this NPI number is 8/25/2006 and was last updated on 3/14/2013.

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	207RC0200X	Internal Medicine	Critical Care Medicine	01044627A	INDIANA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	36094739	ILLINOIS	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	36094739	ILLINOIS	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	01044627A	INDIANA	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	200083190O	MEDICAID	INDIANA
2	290008085	OTHER		RAILROAD MCARE PALAMETTO
3	200083190X	MEDICAID	INDIANA
4	187310A	MEDICARE PIN	INDIANA
5	200083190S	MEDICAID	INDIANA
6	130840F	MEDICARE PIN	INDIANA
7	265130FF	MEDICARE PIN	INDIANA
8	F60520	MEDICARE UPIN
9	608120F	MEDICARE PIN	INDIANA
10	859910VV	MEDICARE PIN	INDIANA
11	859920Z	MEDICARE PIN	INDIANA
12	P00834958	OTHER	INDIANA	RAILROAD MEDICARE
13	000000089595	OTHER		ANTHEM
14	200083190	MEDICAID	INDIANA
15	192770Z	MEDICARE PIN	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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